Organization Active NPI

Head Quarters Custom Hair Design LLC

  • Durable Medical Equipment & Medical Supplies
  • Cantonment, FL
National Provider Identifier
1992473441
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEAD QUARTERS CUSTOM HAIR DESIGN LLC
Practice address
948 S Highway 29
Cantonment, FL 32533-6416
Phone
(850) 816-0122
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Ms. Zandra MooreNPI 1699443135
Title
Owner
Phone
(850) 816-0122

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

948 S Highway 29
Cantonment, FL 32533-6416

Mailing address

8301 Ranger Dr
Pensacola, FL 32534-3504
Phone (850) 816-0122

National Provider Directory

National Provider Directory

Locations

948 S Highway 29
Cantonment, FL 32533
Phone (850) 816-0122

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": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1992473441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 RANGER DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343504",
            "telephone_number": "850-816-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 S HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325336416",
            "telephone_number": "850-816-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD QUARTERS CUSTOM HAIR DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ZANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-816-0122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cantonment, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.