HYDRASPA REJUVENATION STATION LLC NPI 1881407450

NPI Information

  • NPI: 1881407450
  • Provider Name: HYDRASPA REJUVENATION STATION LLC
  • Classification: Clinic/Center - 261QI0500X
  • Specialization: Infusion Therapy
  • Entity Type: Organization
  • Address: 11 UNION ST S STE 105
    CONCORD, NC
    ZIP 28025
  • Phone: (980) 310-6381

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NPI Details

HYDRASPA REJUVENATION STATION LLC is an infusion therapy clinic center in Concord, NC. HYDRASPA REJUVENATION STATION LLC NPI is 1881407450. The provider is registered as an organization entity type.

The provider's business location address is:

11 UNION ST S STE 105
CONCORD, NC
ZIP 28025-088
Phone: (980) 310-6381

The provider's authorized official is Monique Lucas .
The authorized official title is Chief Nursing Officer and has the following contact phone number (980) 310-6381.

The enumeration date for this NPI number is 1/28/2025 and was last updated on 1/28/2025.

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
1251F00000XHome InfusionNo
2261QI0500XClinic/CenterInfusion TherapyYes
33336H0001XPharmacyHome Infusion Therapy PharmacyNo

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: 11/21/2025

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