PURPLE PALACE (NPI# 1821464322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821464322 |
| Entity Type | Organization |
| Organization Name | PURPLE PALACE |
| Practice Address |
1214 Milford St Ne Canton OH 44714-1636 |
| Practice Telephone | 2345219147 |
| Mailing Telephone | 2345219147 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | LISA C ALLEN (OWNER) |
| Authorized Official Telephone | 2345219147 |
| 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 |
COSM.933895 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CERTIFIED HAIR LOSS SPECIALIST | 1744P32OOX | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PURPLE PALACE INTERNET CAFE LLC | 74 Main St., Akron, Ny 14001 |
| Colorado Business Entities | Purple Palace LLC | 19982 E Red Fox Ln, Centennial, CO 80015 |
| Street Address |
1214 MILFORD ST NE |
| City | CANTON |
| State | OH |
| Zip Code | 44714-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941365 | Desiree Morgan | Occupational Therapy Assistant | 1634 20th St. N.e., Canton, OH 44714 | 2017-09-19 |
| 1932525706 | Cody Henninge | In Home Supportive Care | 2800 Market Ave N Suite 16, Canton, OH 44714 | 2014-03-17 |
| 1346584984 | Quest Recovery and Prevention Services | Substance Abuse Rehabilitation Facility | 1711 Spring Avenue Nw, Canton, OH 44714 | 2012-11-20 |
| 1780159921 | Lynne Marie Shayko | Counselor | 1341 Market Ave N, Canton, OH 44714 | 2018-10-03 |
| 1427437540 | Robert D Cox | Counselor | 1341 Market Ave N, Canton, OH 44714 | 2015-05-21 |
| 1316336878 | Erika D Putnam | Counselor | 1711 Spring Ave Ne, Canton, OH 44714 | 2015-01-21 |
| 1225435969 | Emily A Custer | Counselor | 1341 Market Ave N, Canton, OH 44714 | 2014-11-24 |
| 1700438363 | Ryan Gernert | Specialist/Technologist | 5323 Gardendale Ave Ne, Canton, OH 44714-1042 | 2019-07-14 |
| 1982171468 | Adrienne Chavers | Home Health | 5438 Market Ave N, Canton, OH 44714-1059 | 2018-11-01 |
| 1912061797 | Living 4 Independence | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4629 Helmsworth Dr Ne, Canton, OH 44714-1162 | 2006-12-19 |
| Find all providers in zip 44714 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639193386 | Louis M Perrotta | Specialist | 141 Dowd Ave, Canton, CT 06019-2401 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151876 | Toni Holmes | Specialist | 1841 Spring Grove Ln, Middletown, OH 45044-2946 | 2020-10-16 |
| 1609474535 | Custom Ce LLC | Specialist | 4224 Chambers St, Cincinnati, OH 45223-1826 | 2020-10-13 |
| 1992264691 | Shante Franklin | Specialist | 5336 Globe Ave, Cincinnati, OH 45212-1561 | 2019-03-13 |
| 1396201299 | Islay LLC | Specialist | 524 Park Ave W, Mansfield, OH 44906-3720 | 2019-02-15 |
| 1316401060 | Lauren Deseret Walker | Specialist | 230 Northland Blvd Ste 300, Springdale, OH 45246-3600 | 2019-01-28 |
| 1609340686 | Dawn Denean Rucker-turner | Specialist | 210 Springboro Pike, Dayton, OH 45449-3640 | 2019-01-14 |
| 1891266243 | Eboni Shavon Everage | Specialist | 3501 Burnet Ave, Cincinnati, OH 45229-2878 | 2018-12-11 |
| 1063983617 | Tamora Boykin | Specialist | 1830 Wakefield Dr, Akron, OH 44320-1648 | 2018-12-07 |
| 1124595301 | Timiko S Kiner | Specialist | 1244 Flaire Dr Ste 105, Toledo, OH 43615-4671 | 2018-10-25 |
| 1710490172 | Ac Styles LLC | Specialist | 4281 Morse Rd, Gahanna, OH 43230-1522 | 2017-11-08 |
| 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.