BOMBEAUTY SUPPLY AND SALON (NPI# 1003383233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003383233 |
| Entity Type | Organization |
| Organization Name | BOMBEAUTY SUPPLY AND SALON |
| Practice Address |
3010 Lake Shore Dr Unit A Indianapolis IN 46205 |
| Mailing Address |
8421 Weeping Cherry Lane Ft Worth TX 76140 |
| Practice Telephone | 8177215008 |
| Mailing Telephone | 8177215008 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | ANDREA SCOTT (OWNER) |
| Authorized Official Telephone | 3175236475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3010 LAKE SHORE DR UNIT A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
| 1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
| 1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| 1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
| 1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
| 1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
| 1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
| 1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
| 1164586269 | Deidre East Guerrettaz | Dentist | 4809 N Pennsylvania St, Indpls, IN 46205 | 2006-12-21 |
| Find all providers in zip 46205 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
| 1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
| 1649890849 | Defy Therapeutics LLC | Durable Medical Equipment & Medical Supplies | 6330 East 75th Street, Suite 218, Indianapolis, IN 46250-2700 | 2020-04-17 |
| 1558997049 | At Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 7930 S Emerson Ave Ste 3, Indianapolis, IN 46237-8626 | 2020-03-17 |
| 1528693611 | Ally Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 9247 N Meridian St Ste 106, Indianapolis, IN 46260-1879 | 2020-03-09 |
| 1831720788 | Good for You Enterprises LLC | Durable Medical Equipment & Medical Supplies | 451 Wellington Road, Indianapolis, IN 46260-4619 | 2020-01-30 |
| 1144865338 | Medco Respiratory Instruments, Inc | Durable Medical Equipment & Medical Supplies | 3125 Dandy Trl Ste 216, Indianapolis, IN 46214-1460 | 2019-11-12 |
| 1447802251 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 336 S Delaware St, Indianapolis, IN 46204-3701 | 2019-07-11 |
| 1518426204 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5756 W 74th Street, Bldg 112, Indianapolis, IN 46278-1755 | 2019-03-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46205 |
Please comment or provide details below to improve the information on BOMBEAUTY SUPPLY AND SALON.
| 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.