Individual provider Active NPI

Roslene Harbin

  • Licensed Practical Nurse
  • Center Line, MI
National Provider Identifier
1134634629
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703102256 Issued in MI
Practice address
8033 E 10 Mile Rd Ste 114
Center Line, MI 48015-1454
Phone
(586) 756-6661
Fax
(586) 756-6933
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703102256 MI Primary

Addresses

Primary practice location

8033 E 10 Mile Rd Ste 114
Center Line, MI 48015-1454

Mailing address

31674 Schoenherr Rd Apt G-14
Warren, MI 48088-1928
Phone (313) 768-8677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4703102256MIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond and Amazing,LLC CurrentSince Aug 23, 2020 Accepting new patients
Atrium Home & Healthcare Services Inc. Past Accepting new patients
Grand Home Care, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1134634629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31674 SCHOENHERR RD APT G-14",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480881928",
            "telephone_number": "313-768-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 E 10 MILE RD STE 114",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151454",
            "telephone_number": "586-756-6661",
            "fax_number": "586-756-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "ROSLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703102256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.