REVAMPED BEAUTY (NPI# 1619429685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619429685 |
| Entity Type | Organization |
| Organization Name | REVAMPED BEAUTY |
| Other Organization Name | REVAMPED BEAUTY HAIR LOSS SOLUTIONS |
| Practice Address |
2714 Ensley 5 Points W Ave Birmingham AL 35218-2853 |
| Mailing Address |
1024 Kerry Dr Calera AL 35040-5512 |
| Practice Telephone | 2054787518 |
| Mailing Telephone | 2054787518 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | BRITTNEY BASS-GRAY (FOUNDER) |
| Authorized Official Telephone | 2054787518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Other Name | Type Code |
|---|---|
| Revamped Beauty Hair Loss Solutions | Other Name - Individual/Organization |
| Street Address |
2714 ENSLEY 5 POINTS W AVE |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35218-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069486 | Andrea Lashon Lane | Counselor | 2008 21st Street, Ensley, AL 35218 | 2020-07-06 |
| 1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
| 1922194968 | Rosalyn L Morgan | Pediatrics | 2010-avenue F, Birmingham, AL 35218 | 2006-10-05 |
| 1225546641 | Sarah Elizabeth Guiler | Nurse Practitioner | 2010 Avenue F, Ensley, AL 35218 | 2018-01-19 |
| 1598764698 | Leesha Michelle Ellis-cox | Psychiatry & Neurology | 1701 Avenue D, Birmingham, AL 35218-1532 | 2005-07-20 |
| 1659548444 | Western Mental Health Center Inc | Clinic/Center | 1701 Avenue D, Birmingham, AL 35218-1532 | 2008-05-12 |
| 1972689032 | Terrell Smith Dorman | Social Worker | 1701 Avenue D, Birmingham, AL 35218-1532 | 2006-10-31 |
| 1336224963 | Wolfram Glaser | Psychiatry & Neurology | 1701 Avenue D, Birmingham, AL 35218-1532 | 2006-10-25 |
| 1881776649 | Western Mental Health Center, Inc. | Clinic/Center | 1701 Avenue D, Birmingham, AL 35218-1532 | 2006-10-20 |
| 1558670810 | Renal Treatment Centers- Southeast, Lp | Clinic/Center | 1809 Avenue H, Ensley, AL 35218-1542 | 2010-10-04 |
| Find all providers in zip 35218 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649799701 | Rdg Team, LLC | Durable Medical Equipment & Medical Supplies | 6600 Walt Dr Ste E, Birmingham, AL 35242-7150 | 2017-09-10 |
| 1588105035 | Tmj & Sleep Solutions of Alabama Inc | Durable Medical Equipment & Medical Supplies | 1045 Broadway Park Ste 109, Birmingham, AL 35209-6256 | 2017-03-16 |
| 1427451236 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 102 Oxmoor Road, Suite 126, Birmingham, AL 35209-5964 | 2014-10-07 |
| 1376808220 | Orthomedics | Durable Medical Equipment & Medical Supplies | 101 Austin Cir, Birmingham, AL 35242-7070 | 2012-07-06 |
| 1689983876 | Performance Orthopedic Associates | Durable Medical Equipment & Medical Supplies | 200 Office Park Dr Ste 340, Birmingham, AL 35223-2475 | 2010-10-05 |
| 1104007632 | A & A Home Health Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 3229 Veterans Cir Ste 105, Birmingham, AL 35235-3156 | 2007-11-27 |
| 1437355450 | Concept Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 2318 Saint Joseph Rd, Birmingham, AL 35243-2247 | 2007-06-26 |
| 1851435044 | Cc Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 3432 Old Columbiana Rd, Birmingham, AL 35226-3321 | 2007-02-19 |
| 1932290707 | Gulf Coast Rehab Equipment | Durable Medical Equipment & Medical Supplies | 2712 7th Ave S, Birmingham, AL 35233-3406 | 2006-09-27 |
| 1073574018 | Theta Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 3644 Vann Rd, Suite 112, Birmingham, AL 35235-3256 | 2006-03-29 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35218 |
Please comment or provide details below to improve the information on REVAMPED BEAUTY.
| 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.