HAIR ICON PROTHISIS SUPPLY (NPI# 1669852620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669852620 |
| Entity Type | Organization |
| Organization Name | HAIR ICON PROTHISIS SUPPLY |
| Practice Address |
6422 Aberdeen Pl Suffolk VA 23435-3039 |
| Practice Telephone | 7572921364 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | MRS. SHIREE JENNIFER MCCLENDON (OWNER) |
| Authorized Official Telephone | 7572921364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
VA | Suppliers |
| Street Address |
6422 ABERDEEN PL |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319735 | Recovery Trek, LLC | Durable Medical Equipment & Medical Supplies | 440 Monticello Ave Ste 100, Norfolk, VA 23510-2671 | 2020-08-31 |
| 1043849524 | Remote Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 15721 Wc Main St, Midlothian, VA 23113-7327 | 2020-04-06 |
| 1457983298 | Commonwealth Dental Sleep Medicine Inc | Durable Medical Equipment & Medical Supplies | 10601 Greenyard Way, Chester, VA 23831-1485 | 2020-02-10 |
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1154895449 | Xensan LLC | Durable Medical Equipment & Medical Supplies | 6547 Orland St, Falls Church, VA 22043-1813 | 2019-01-19 |
| 1851862940 | H. Charles Jelinek Jr. Dds | Durable Medical Equipment & Medical Supplies | 8505 Arlington Blvd Ste 260, Fairfax, VA 22031-4636 | 2018-12-16 |
| 1174099964 | Robin Melody Delbiondo | Durable Medical Equipment & Medical Supplies | 108 Ana Marie Blvd, Waynesboro, VA 22980-9607 | 2018-10-18 |
| 1366925398 | Mpower Me, LLC | Durable Medical Equipment & Medical Supplies | 73 Seven Ponds Rd, Amissville, VA 20106-4212 | 2018-09-14 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1346736014 | Riverside Builders LLC | Durable Medical Equipment & Medical Supplies | 130 Swift Creek Ln, Colonial Heights, VA 23834-1631 | 2018-07-06 |
| 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.