NPIMap

Organization Active NPI

Haile Village Spa & Salon

  • Health Service Clinic/Center
  • Gainesville, FL
National Provider Identifier
1972856987
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MM 29063 Issued in FL
Legal business name
HAILE VILLAGE SPA & SALON
Practice address
5207 SW 91St Ter
Gainesville, FL 32608-7125
Phone
(352) 335-5025
Fax
(352) 335-2445
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Katelyn Vilardell
Title
Spa Director/Spa Manager
Phone
(352) 335-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MM 29063 FL Primary

Addresses

Primary practice location

5207 SW 91St Ter
Gainesville, FL 32608-7125

Mailing address

5207 SW 91St Ter
Gainesville, FL 32608-7125
Phone (352) 335-5025

National Provider Directory

National Provider Directory

Locations

5207 SW 91st Ter
Gainesville, FL 32608
Phone (352) 335-5025

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": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1972856987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 SW 91ST TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087125",
            "telephone_number": "352-335-5025",
            "fax_number": "352-335-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 SW 91ST TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087125",
            "telephone_number": "352-335-5025",
            "fax_number": "352-335-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILE VILLAGE SPA & SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "VILARDELL",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "SPA DIRECTOR/SPA MANAGER",
        "authorized_official_telephone_number": "352-335-5025"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MM 29063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.