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COVENANT CRANIAL MEDICAL WIGS, LLC
NPI 1225974710
Durable Medical Equipment & Medical Supplies in Colonial Hgts, VA

Active since April 27, 2026
1021 BOULEVARD, COLONIAL HGTS, VA 23834(804) 844-6359 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Cranial Medical Wigs, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT CRANIAL MEDICAL WIGS, LLC (NPI 1225974710) is a healthcare organization registered as a durable medical equipment & medical supplies in Colonial Hgts, Virginia and active in the NPI registry since April 2026. The organization lists Lasatt Nichele Tillman, Owner/instructor, as its authorized official.

NPPES Registry Identity

NPI1225974710
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCOVENANT CRANIAL MEDICAL WIGS, LLC
Location Address1021 BOULEVARDColonial Hgts, VA 23834-3258
Mailing Address8307 Scott PlRichmond, VA 23227-1100 · (804) 451-8343
Phone(804) 844-6359
Organization SubpartNo
Authorized OfficialLasatt Nichele TillmanOwner/instructor · (804) 451-8343
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1225974710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1021 BOULEVARD, Colonial Hgts, VA 23834
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LASATT NICHELE TILLMAN
Durable Medical Equipment & Medical Supplies
1021 BOULEVARD
COLONIAL HGTS, VA 23834
Colonial Heights City (804) 451-8343
JUAN A. ROJAS DOWGIALLO DDS
Dentist (General Practice)
1021 BOULEVARD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 892-1330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Cranial Medical Wigs, LLC's NPI number?

The NPI number for Covenant Cranial Medical Wigs, LLC is 1225974710. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Covenant Cranial Medical Wigs, LLC located?

Covenant Cranial Medical Wigs, LLC is located at 1021 Boulevard, Colonial Hgts, VA 23834. The listed phone number is (804) 844-6359.

What is Covenant Cranial Medical Wigs, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Covenant Cranial Medical Wigs, LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.