Organization Active NPI

La Hair Design LLC

  • Mastectomy Fitter
  • Green Springs, OH
National Provider Identifier
1952059446
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
LA HAIR DESIGN LLC
Practice address
222 Smith St
Green Springs, OH 44836-9669
Phone
(419) 639-2010
NPI assigned
Mar 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Lorrie GarciaNPI 1750039426
Title
Owner
Phone
(419) 639-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224900000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

222 Smith St
Green Springs, OH 44836-9669

Mailing address

222 Smith St
Green Springs, OH 44836-9669
Phone (419) 639-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220329001519 OH DME Supplier - Prosthetic Personnel 8820484926 Practice locations: Green Springs, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
La Hair Design LLC222 Smith St, Green Springs, OH 44836-9669(419) 639-2010 Breast Prostheses and/or Accessories Accepts assignmentParticipating since Aug 31, 2024

National Provider Directory

National Provider Directory

Locations

222 Smith St
Green Springs, OH 44836
Phone (419) 639-2010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1952059446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SMITH ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369669",
            "telephone_number": "419-639-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SMITH ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369669",
            "telephone_number": "419-639-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA HAIR DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-639-2010"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Springs, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.