Tulips Hair Boutique, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

TULIPS HAIR BOUTIQUE, LLC

Practice address

10706 Reisterstown Rd Unit G
Owings Mills, MD 21117-2720

Phone

(443) 713-5726

NPI assigned

Jan 30, 2021

Organization subpart

No

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

Authorized official

Name

Novelette Blake

Title

Owner

Phone

(443) 713-5726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1992396196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211360390",
            "telephone_number": "443-713-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 REISTERSTOWN RD UNIT G",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172720",
            "telephone_number": "443-713-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULIPS HAIR BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "NOVELETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-713-5726"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.