LUSH HAIR AFFAIR RX – NPI #1295307387
Prosthetic/Orthotic Supplier

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

LUSH HAIR AFFAIR RX is a DME Supplier located in COLUMBIA, SC. NPPES has assigned the NPI number 1295307387 to LUSH HAIR AFFAIR RX on July 16, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LUSH HAIR AFFAIR RX” is a dba name, the actual legal business name for this organization is LUSH HAIR AFFAIR. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 5 years ago on Aug 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUSH HAIR AFFAIR RX below.

NPI Profile for
LUSH HAIR AFFAIR

NPI Number
1295307387
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LUSH HAIR AFFAIR
Doing Business As (dba): LUSH HAIR AFFAIR RX
Primary location
136-4 FORUM DRIVE
#1055
COLUMBIA, SC 29229
Phone: (803) 427-9202 Fax: (803) 710-7307
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIANTE THOMPSON
OWNER/CRANIAL PROSTHESIS SPECIALIST
Phone: (803) 729-6940
Updated
Certification Date
Aug 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
18037107307
Endpoint type
Other URL
Endpoint Description
FAX
Content Type
Affiliation
N
Endpoint Location
136-4 FORUM DRIVE,
COLUMBIA, SC 77025-1669