ELITE BARBER SPA, LLC (NPI# 1063901072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063901072 |
| Entity Type | Organization |
| Organization Name | ELITE BARBER SPA, LLC |
| Practice Address |
850 E Bacons Bridge Road Suite 303 Summerville SC 29485 |
| Mailing Address |
117 Natchez Kusso Rd Ridgeville SC 29472-8415 |
| Practice Telephone | 8434751033 |
| Mailing Telephone | 8434751033 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | MR. PATRICK NUGENT HILL (OWNER/OPERATOR) |
| Authorized Official Telephone | 8434751033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
850 E BACONS BRIDGE ROAD SUITE 303 |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| 1124434329 | James C. Andrews Dmd Pa | Clinic/Center | 1720 Trolley Road, Summerville, SC 29485 | 2014-07-08 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528448206 | Kimberly Morrison | Specialist | 135 Orangeburg Rd, Summerville, SC 29483-8924 | 2015-06-08 |
| 1639517956 | Jeanette Calandra Hill-frederick | Specialist | 418 Old Trolley Rd Ste A, Summerville, SC 29485-5682 | 2013-06-09 |
| 1962421479 | Stephen Vincent Marfia | Specialist | 158 Moon Dance Ln, Summerville, SC 29483-5632 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212583 | Morcia K Bradley | Specialist | 6800 Shakespeare Rd Ste D, Columbia, SC 29223-7512 | 2020-10-16 |
| 1144839101 | Tierra S Green | Specialist | 2702 W Surrey Dr, North Charleston, SC 29405-5513 | 2020-07-27 |
| 1306464532 | Joanna Allen-gibbs II | Specialist | 6340 Nakia Dr, Rembert, SC 29128-8820 | 2020-07-14 |
| 1316563877 | Stephanie D. Hamilton | Specialist | 37 Willis St S, Yemassee, SC 29945-2420 | 2020-06-21 |
| 1851927750 | Sharika D Harley | Specialist | 1572 Sam Rittenberg Blvd, Charleston, SC 29407-4105 | 2020-03-23 |
| 1629618251 | Keatley Miller | Specialist | 800 John B White Blvd, Spartanburg, SC 29306-4043 | 2020-01-12 |
| 1821636184 | Arkeem Green | Specialist | 215 Pine Shadow Dr, Goose Creek, SC 29445-4662 | 2019-12-18 |
| 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 |
| 1043855976 | Changes Styling Salon | Specialist | 1256 W Main St, Dillon, SC 29536-7926 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on ELITE BARBER SPA, 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.