A SPECIAL PLACE WIG BOUTIQUE, LLC (NPI# 1013362896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013362896 |
| Entity Type | Organization |
| Organization Name | A SPECIAL PLACE WIG BOUTIQUE, LLC |
| Other Organization Name | A SPECIAL PLACE |
| Practice Address |
5524 Williamson Rd Suite 6 Roanoke VA 24012-1448 |
| Practice Telephone | 5402652960 |
| Practice Fax Number | 5402652970 |
| Mailing Telephone | 5402652960 |
| Mailing Fax Number | 5402652970 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | MRS. JAMELA A HODGSON (OWNER) |
| Authorized Official Telephone | 3365740100 |
| Is Organization Subpart | Y |
| Parent Organization Name | A SPECIAL PLACE WIG GALLERY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 100033237 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE OF NORTH CAROLINA | 1629029848 | 01 |
| Other Name | Type Code |
|---|---|
| A Special Place | Other Name - Individual/Organization |
| Street Address |
5524 WILLIAMSON RD SUITE 6 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118313 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 3791 Peters Creek Road Ext Sw, Roanoke, VA 24018-1539 | 2020-09-12 |
| 1689229593 | Hair Restoration Center of Roanoke | Durable Medical Equipment & Medical Supplies | 3629 Franklin Rd Sw Ste 211, Roanoke, VA 24014-2217 | 2019-08-07 |
| 1699245076 | Ez Rampz, Inc. | Durable Medical Equipment & Medical Supplies | 5119 Hollins Rd, Roanoke, VA 24019-5313 | 2018-11-28 |
| 1245621341 | No Place Like Home Remodeling and Consulting Services,llc | Durable Medical Equipment & Medical Supplies | 2616 Blue Heron Cir, Roanoke, VA 24018-5134 | 2015-02-10 |
| 1518361302 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4950 Plantation Rd, Roanoke, VA 24019-5216 | 2014-10-22 |
| 1447663869 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1305 N Hwy 377, Roanoke, TX 76262 | 2014-06-03 |
| 1831527126 | Ada Specialties | Durable Medical Equipment & Medical Supplies | 2944 Orange Ave Ne, Roanoke, VA 24012-6339 | 2013-10-23 |
| 1225378540 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1125 S Jefferson St, Suite A, Roanoke, VA 24016-4756 | 2013-02-22 |
| 1013171677 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2351 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2008-07-14 |
| 1790951267 | On-site Sports Medicine Services, Inc. | Durable Medical Equipment & Medical Supplies | 440 Highland Ave Sw, Roanoke, VA 24016-4214 | 2008-05-05 |
| Find all providers in ROANOKE | ||||
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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.