OrganizationActive
Fabulous Weave , LLC
NPI 1083960801 · Customized Equipment (DME) · Waldorf, MD
Fabulous Weave , LLC is a Customized Equipment (DME) organization in Waldorf, MD (NPI 1083960801).
Provider details
- NPI number
- 1083960801
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Andrea Doctor, Rnconsult for Cranial Prosthesis(301) 609-0845
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10595 Sourwood Ave
Waldorf, MD 20603-5730
Phone: (301) 645-8765
Fax: (301) 645-9611
Street-level locationGet directions
Mailing address
10595 Sourwood Ave
Waldorf, MD 20603-5730
Registry dates
- Enumerated
- 2012-07-30
- Last updated
- 2012-07-30
Frequently asked questions
- What is Fabulous Weave , LLC's NPI number?
- Fabulous Weave , LLC's National Provider Identifier (NPI) is 1083960801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fabulous Weave , LLC?
- Fabulous Weave , LLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Fabulous Weave , LLC located?
- Fabulous Weave , LLC's practice location on file with NPPES is 10595 Sourwood Ave, Waldorf, MD 20603-5730.
- What is Fabulous Weave , LLC's phone number?
- The practice phone number listed in the NPPES registry for Fabulous Weave , LLC is (301) 645-8765.
- Who is the authorized official for Fabulous Weave , LLC?
- The authorized official listed on Fabulous Weave , LLC's NPPES record is Andrea Doctor, Rnconsult for Cranial Prosthesis. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fabulous Weave , LLC's NPI active?
- Yes — Fabulous Weave , LLC's NPI (1083960801) is active in the NPPES registry as of the last update on 2012-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.