PHENOMENAL HAIR REPLACEMENT SERVICES LLC (NPI# 1497385454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497385454 |
| Entity Type | Organization |
| Organization Name | PHENOMENAL HAIR REPLACEMENT SERVICES LLC |
| Practice Address |
9400 Two Notch Rd Ste E1 Columbia SC 29223-5946 |
| Practice Telephone | 8034775243 |
| Practice Fax Number | 8037534353 |
| Mailing Telephone | 8034775243 |
| Mailing Fax Number | 8037534353 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | CATHY J MACK (NON SURGICAL HAIR REPLACEMENT) |
| Authorized Official Telephone | 8034775243 |
| Authorized Official Credential | SPECIALIST |
| Is Organization Subpart | Y |
| Parent Organization Name | ANOINTED CUTS BARBER & BEAUTY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| ANOINTED CUTS | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHENOMENAL HAIR REPLACEMENT SERVICES LLC | 9400 Two Notch Rd Ste E2, Columbia, SC 29223-5946 |
| Street Address |
9400 TWO NOTCH RD STE E1 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-5946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| 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 |
|---|---|---|---|---|
| 1356955983 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 1400 Pickens St Fl 3, Columbia, SC 29201-3465 | 2020-09-01 |
| 1457975575 | Siege Consulting LLC | Durable Medical Equipment & Medical Supplies | 7125 Thomas Edison Dr Ste 107, Columbia, MD 21046-2208 | 2020-06-04 |
| 1689146409 | Mom4moms | Durable Medical Equipment & Medical Supplies | 3905 W Beltline Blvd Ste 17, Columbia, SC 29204-1503 | 2018-12-18 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1447749130 | Kevin Anthony Rasberry | Durable Medical Equipment & Medical Supplies | 482 Marsh Pointe Dr, Columbia, SC 29229-7025 | 2018-05-08 |
| 1811486285 | F & M Logistics | Durable Medical Equipment & Medical Supplies | 9650 Santiago Rd Ste 7, Columbia, MD 21045-3960 | 2018-05-01 |
| 1558884544 | Boone Health Supplies | Durable Medical Equipment & Medical Supplies | 303 N Stadium Blvd Fl 2, Columbia, MO 65203-1493 | 2017-07-20 |
| 1780113696 | Reliance Mobility, LLC | Durable Medical Equipment & Medical Supplies | 702 Lion Pkwy, Columbia, TN 38401-4721 | 2017-06-06 |
| 1003262809 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1028 Roberts Branch Pkwy, Columbia, SC 29203 | 2016-05-11 |
| 1336512623 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 501 Gervais St, Columbia, SC 29201-3045 | 2015-11-09 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on PHENOMENAL HAIR REPLACEMENT SERVICES 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.