CAROLINA HAIR REJUVENATION CLINIC LLC (NPI# 1003308248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003308248 |
| Entity Type | Organization |
| Organization Name | CAROLINA HAIR REJUVENATION CLINIC LLC |
| Practice Address |
651 Saint Andrews Rd Columbia SC 29210-5112 |
| Mailing Address |
537 Halleck Ln Columbia SC 29229-8096 |
| Practice Telephone | 8007190061 |
| Mailing Telephone | 8007190061 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | LAKISHA M ASHFORD (PRESIDENT) |
| Authorized Official Telephone | 8007190061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
55548 | SC | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CAROLINA HAIR REJUVENATION CLINIC LLC | 651 Saint Andrews Rd, Columbia, SC 29210-5112 |
| Street Address |
651 SAINT ANDREWS RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447754288 | Lakisha Martesa Ashford | Specialist | 651 Saint Andrews Rd, Columbia, SC 29210-5112 | 2018-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212583 | Morcia K Bradley | Specialist | 6800 Shakespeare Rd Ste D, Columbia, SC 29223-7512 | 2020-10-16 |
| 1942848643 | Tamara Lynette Waters | Specialist | 10050 Two Notch Rd Ste 7, Columbia, SC 29223-4302 | 2019-12-13 |
| 1871130690 | Tonya Haynes Brown | Specialist | 1224 Broad River Rd, Columbia, SC 29210-7619 | 2019-12-01 |
| 1508409897 | Tiana Tylei Goodman-walker | Specialist | 1825 Saint Julian Pl Apt 9b, Columbia, SC 29204-2483 | 2019-10-20 |
| 1104484880 | Brandi Ann Harris | Specialist | 416 E Broadway, Columbia, MO 65201-4438 | 2019-05-29 |
| 1073087078 | Sonya L Pipkins | Specialist | 1002 Chickasaw Trl, Columbia, TN 38401-2558 | 2019-01-14 |
| 1447754288 | Lakisha Martesa Ashford | Specialist | 651 Saint Andrews Rd, Columbia, SC 29210-5112 | 2018-03-19 |
| 1831604909 | Mary Elizabeth Lewis | Specialist | 120 Fairforest Rd, Columbia, SC 29212-2308 | 2017-12-11 |
| 1205341450 | Katherine L Savage | Specialist | 425 Summit Terrace Ct Ste B5, Columbia, SC 29229-7055 | 2017-12-11 |
| 1457890873 | Beveisha Youmans | Specialist | 3542 Covenant Rd, Columbia, SC 29204-4271 | 2017-02-17 |
| Find all providers in COLUMBIA | ||||
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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.