SEW LUXE CUSTOMS, LLC (NPI# 1093337305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093337305 |
| Entity Type | Organization |
| Organization Name | SEW LUXE CUSTOMS, LLC |
| Practice Address |
8674 Quarters Lake Road Building 11 Suit 1 Baton Rouge LA 70809 |
| Mailing Address |
10380 Perkins Rd Unit 84232 Baton Rouge LA 70884-5343 |
| Practice Telephone | 2254857947 |
| Practice Fax Number | 9852758430 |
| Mailing Telephone | 2254857947 |
| Mailing Fax Number | 9852758430 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | DYNNISHEA JONES-MILLER (OWNER) |
| Authorized Official Telephone | 2254857947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
8674 QUARTERS LAKE ROAD BUILDING 11 SUIT 1 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| 1154830008 | Anelcia Rayford | Counselor | 3040 Teddy Drive, Baton Rouge, LA 70809 | 2017-09-22 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710060 | The Monte' Garcia Salon | Prosthetic/Orthotic Supplier | 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 | 2020-04-28 |
| 1033746961 | Orthotic & Prosthetic Solutions LLC | Prosthetic/Orthotic Supplier | 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 | 2020-03-23 |
| 1255975421 | Orthotic & Prosthetic Specialists, Inc. | Prosthetic/Orthotic Supplier | 10241 Coursey Blvd Ste C, Baton Rouge, LA 70816-0409 | 2019-10-31 |
| 1356908180 | Louisiana Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 | 2019-05-28 |
| 1578800157 | Duramed, Inc | Prosthetic/Orthotic Supplier | 11135 Industriplex Blvd, Suite 800, Baton Rouge, LA 70809-4114 | 2013-01-15 |
| 1225309263 | Still Me Inc. | Prosthetic/Orthotic Supplier | 930 Oneal Ln, Suite B5, Baton Rouge, LA 70816-1807 | 2012-01-23 |
| 1356626287 | Simply Savonte, LLC | Prosthetic/Orthotic Supplier | 6103 Florida Blvd, Suite E, Baton Rouge, LA 70806-0600 | 2011-10-11 |
| 1306133186 | Ultimate Athletic Equipment | Prosthetic/Orthotic Supplier | 286 Kenwood Ave, Baton Rouge, LA 70806-4519 | 2011-06-30 |
| 1174615314 | Baton Rouge Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5745 Essen Ln, Suite 102, Baton Rouge, LA 70810-1115 | 2006-09-28 |
| 1811930019 | Ortho - Direct Inc. | Prosthetic/Orthotic Supplier | 5039 Parkoaks Dr, Baton Rouge, LA 70816-6717 | 2006-06-14 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on SEW LUXE CUSTOMS, 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.