RESTORATION SALON AND SPA (NPI# 1003350349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003350349 |
| Entity Type | Organization |
| Organization Name | RESTORATION SALON AND SPA |
| Practice Address |
425 French Road Depew NY 14043 |
| Mailing Address |
425 French Rd Depew NY 14043-2239 |
| Practice Telephone | 7162889326 |
| Mailing Telephone | 7162889326 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | MRS. KENDRALL FENTNER (SALON OWNER) |
| Authorized Official Telephone | 7162889326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 026746 | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RESTORATION SALON AND SPA LLC | 17220 67th Ave Ne, Arlington, WA 98223 |
| Virginia Business Entities | Restoration Salon and Spa LLC | 1258, Lead Mine Rd, Austinville, Virginia 24312 |
| Street Address |
425 FRENCH ROAD |
| City | DEPEW |
| State | NY |
| Zip Code | 14043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117016 | Jennifer Wojcik | Specialist | 2049 George Urban Blvd., Depew, NY 14043 | 2019-08-01 |
| 1437628674 | Kelsey Marie Adams | Student in an Organized Health Care Education/Training Program | 171 Kokomo St. Apt 4, Depew, NY 14043 | 2018-11-16 |
| 1316425523 | Katherine Kolarczyk | Occupational Therapist | 2039 George Urban Boulevard, Depew, NY 14043 | 2018-07-31 |
| 1548786387 | Christina Sobieski | Specialist | 458 Dick Rd, Apt. B2, Depew, NY 14043 | 2017-08-14 |
| 1811418825 | Erin Kathleen Paone | Physician Assistant | 6337 Transit Rd, Depew, NY 14043 | 2017-06-29 |
| 1336525104 | Erica Janette Weber | Pharmacist | 236 Zurbrick Rd, Depew, NY 14043 | 2015-08-04 |
| 1205218781 | Ryan Edwin Knolhoff | Physical Therapy Assistant | 44 A Street, Depew, NY 14043 | 2015-06-22 |
| 1609297563 | Christine Lee Bartkowiak | Pharmacist | 4975 Transit Road, Depew, NY 14043 | 2013-12-19 |
| 1336499656 | Jennifer Warrington | Pharmacist | 124 Taylor Road, Depew, NY 14043 | 2012-09-13 |
| 1225399447 | Meghan Rae Hage | Physician Assistant | 4893 Transit Road, Depew, NY 14043 | 2012-06-05 |
| Find all providers in zip 14043 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1770014862 | Divine Development Inc | Point of Service | 37 Route 59, Nyack, NY 10960-2944 | 2017-03-21 |
| 1477092013 | Heather Makowski Rn Bsn | Point of Service | 53 Delham Ave, Buffalo, NY 14216-3308 | 2017-02-15 |
| 1124563879 | Pascale Gousseland, Ph.d | Point of Service | 117 E 71st St, Suite A, New York, NY 10021-4215 | 2017-01-04 |
| 1790229433 | Psychotherapy Practice | Point of Service | 836 Eastern Pkwy Apt 1b, Brooklyn, NY 11213-3515 | 2016-12-15 |
| 1043666753 | Occupation Therapy World PC | Point of Service | 1349 54th St, Brooklyn, NY 11219-4220 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.