Virgin Girl Hair

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

VIRGIN GIRL HAIR

Doing business as

Virgin Girl Hair Medical Prosthesis

Practice address

11885 E 12 Mile Rd Ste 200B
Warren, MI 48093-3474

Phone

(586) 585-1446

NPI assigned

Aug 21, 2015

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Russell Marcilis IINPI 1780050369

Title

Owner

Phone

(313) 799-7935

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Virgin Girl Hair Medical Prosthesis Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Marcilis II

  • Prosthetic/Orthotic Supplier
  • Eastpointe, MI
  • NPI 1780050369
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1942677273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD STE 200B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933469",
            "telephone_number": "586-585-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD STE 200B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-585-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIN GIRL HAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "MARCILIS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-799-7935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562479018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virgin Girl Hair Medical Prosthesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Renee Vigneau, M.S., A.T.,C.
• Hannah Villapando, LMSW
• Janet Kay Vincent, LPC
• Faith Vinson
• John David Vinson, M.A. L.P.C.
• Kelli Lynne Virgin, D.O.
• Vision Associates PC
• Vision Institute of Michigan PC
• Visiting Physicians of Michigan PLLC
• Vital Home Care Agency LLC

• Prosthetic/Orthotic Supplier in Warren, MI
• Providers in Warren, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.