INDIGO HAIR INNOVATIONS LLC (NPI# 1184270894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184270894 |
| Entity Type | Organization |
| Organization Name | INDIGO HAIR INNOVATIONS LLC |
| Practice Address |
641 New Park Ave West Hartford CT 06110-1318 |
| Practice Telephone | 8609901565 |
| Mailing Telephone | 8609901565 |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2019-08-18 |
| Authorized Official Name | TASHEBA SUZANNIE TAYLOR (OWNER) |
| Authorized Official Telephone | 6314337506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1744P3200X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39 Market Sq, Newington, CT 061112929 | 8609901565 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | INDIGO HAIR INNOVATIONS LLC | 641 New Park Ave, West Hartford, CT 06110 |
| Street Address |
641 NEW PARK AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1962903492 | Mitchell Graham | Chiropractor | 121 Talcott Rd, West Hartford, CT 06110 | 2018-02-21 |
| 1417302829 | Kaitlyn Roggi | Behavioral Analyst | 101 South St Fl 2, West Hartford, CT 06110 | 2016-05-04 |
| 1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
| 1093082174 | Shital Makati | Pharmacist | 940 South Quaker Lane, West Hartford, CT 06110 | 2011-11-17 |
| 1376842948 | Kenneth Reeve | Pediatrics | 1459a New Britain Ave, West Hartford, CT 06110 | 2011-03-22 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| 1821200957 | Advocate Community Care Agency, Inc. | Home Delivered Meals | 1086 New Britain Ave, West Hartford, CT 06110 | 2007-05-03 |
| 1730257155 | Catherine Ann Staunton | Physical Therapist | 1350 Chapel Street, New Haven, CT 06110 | 2006-12-01 |
| 1689750002 | Pamela M Matuszewski | Optometrist | 1445 New Britain Ave, W Hartford, CT 06110 | 2006-10-27 |
| Find all providers in zip 06110 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852377 | Sonia Maria Barbosa | Specialist | 70 Woolson St, Watertown, CT 06795-2229 | 2020-02-05 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1063849057 | Maureen Pavelski | Specialist | 313 Flanders Rd, East Lyme, CT 06333-1711 | 2013-10-04 |
| 1063760064 | Rochelle Powell | Specialist | 1856 Seaview Ave, Bridgeport, CT 06610-2731 | 2012-08-22 |
| 1407036908 | Domenica Freda | Specialist | 760 Boston Post Rd, Milford, CT 06460-2640 | 2007-11-13 |
| 1467586412 | Lori A Ustico | Specialist | 170 Railroad St, Canaan, CT 06018-2011 | 2007-03-14 |
| 1235281122 | John Christian Marcucci | Specialist | 4007 Main St, Bridgeport, CT 06606-2707 | 2007-01-18 |
| 1235665977 | Tamika Gordon | Specialist | 33 Bernhard Rd, North Haven, CT 06473-3900 | 2017-05-01 |
| 1922356112 | Kisha K Council | Specialist | 411 E Main St, Bridgeport, CT 06608-2326 | 2012-08-21 |
| 1639193386 | Louis M Perrotta | Specialist | 141 Dowd Ave, Canton, CT 06019-2401 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06110 |
Please comment or provide details below to improve the information on INDIGO HAIR INNOVATIONS 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.