INDIGO HAIR INNOVATIONS LLC NPI 1184270894

NPI Information

NPI: 1184270894
Provider Name: INDIGO HAIR INNOVATIONS LLC
Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

Address:
641 NEW PARK AVE
WEST HARTFORD, CT
ZIP 06110
Phone: (860) 990-1565
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INDIGO HAIR INNOVATIONS LLC is a prosthetics case management specialist in West Hartford, CT. INDIGO HAIR INNOVATIONS LLC NPI is 1184270894. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

641 NEW PARK AVE
WEST HARTFORD, CT
ZIP 06110-318
Phone: (860) 990-1565

The provider's authorized official is Tasheba Suzannie Taylor .
The authorized official title is Owner and has the following contact phone number (631) 433-7506.

The enumeration date for this NPI number is 8/18/2019 and was last updated on 8/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1744P3200X	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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