Exquisite Coiffures Hair Boutique LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

EXQUISITE COIFFURES HAIR BOUTIQUE LLC

Practice address

234 Prairie St N
Union Springs, AL 36089-1617

Phone

(334) 247-7727

NPI assigned

Dec 22, 2021

Last updated

Dec 22, 2021By 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

Courtney KennebrewNPI 1386316339

Title

Owner

Phone

(334) 531-2123

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Courtney Kennebrew

  • Customized Equipment (DME)
  • Union Springs, AL
  • NPI 1386316339
  NPD Authorized official

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1972263523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360890211",
            "telephone_number": "334-247-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 PRAIRIE ST N",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891617",
            "telephone_number": "334-247-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE COIFFURES HAIR BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "KENNEBREW",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-531-2123"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "endpointDescription": "Electronic EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "234 Prairie St N",
            "city": "Union Springs",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360891617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Customized Equipment (DME) in Union Springs, AL
• Providers in Union Springs, AL by specialty
• Customized Equipment (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.