XTEND MY HAIR SALON & CO LLC (NPI# 1093322687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093322687 |
| Entity Type | Organization |
| Organization Name | XTEND MY HAIR SALON & CO LLC |
| Practice Address |
991 Mount Willow Rd Malvern AR 72104-9426 |
| Mailing Address |
327 Woodland St Malvern AR 72104-3334 |
| Practice Telephone | 5017326041 |
| Mailing Telephone | 1501732604 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MR. TERRENCE RANDELL MITCHELL (CERTIFIED HAIR LOSS SPECIALIST) |
| Authorized Official Telephone | 5017326041 |
| Authorized Official Credential | HAIR LOSS SPECIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
991 MOUNT WILLOW RD |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-9426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134785801 | Michelle Leonard | Specialist | 302 Jefferson Dr, Malvern, PA 19355-3113 | 2019-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857189 | Fairytale Hair L.l.c | Specialist | 1802 S Highway 161, Jacksonville, AR 72076-5511 | 2019-02-12 |
| 1730620600 | Deshantra Mccoy | Specialist | 1401 W 6th Ave, Pine Bluff, AR 71601-3931 | 2017-03-13 |
| 1184090409 | Al&g Enterprize | Specialist | 2243 Mount Holly Rd, Camden, AR 71701-6226 | 2015-08-20 |
| 1942697123 | Shuntia Bush | Specialist | 1002 W 37th St, North Little Rock, AR 72118-4832 | 2015-04-24 |
| 1083797468 | Joann C Hays | Specialist | 1704 W C Pl, Russellville, AR 72801-2773 | 2006-10-22 |
| 1255433785 | Leon Jones Sr. | Specialist | 2605 W 28th Ave, Pine Bluff, AR 71603-4916 | 2006-09-04 |
| 1316963416 | Robert Blair Bailey | Specialist | 7635 Counts Massie Rd, North Little Rock, AR 72113-6656 | 2006-07-14 |
| 1861891889 | Jeanette Roby | Specialist | 1200 John Barrow Rd, Suite 202, Little Rock, AR 72205-6500 | 2014-08-14 |
Please comment or provide details below to improve the information on XTEND MY HAIR SALON & CO LLC.
| 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.