Pink Diamond Beauty Mall Detroit LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

PINK DIAMOND BEAUTY MALL DETROIT LLC

Practice address

17350 Livernois Ave
Detroit, MI 48221-2759

Phone

(855) 683-7465

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Katrina BelinNPI 1184507055

Title

Owner

Phone

(855) 683-7465

Specialties & licenses 4

Addresses

Other names 1

• Pink Diamond Beauty Mall Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina Belin

  • Community Health Worker
  • Detroit, MI
  • NPI 1184507055
  NPD Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1245926179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212759",
            "telephone_number": "313-768-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212759",
            "telephone_number": "855-683-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK DIAMOND BEAUTY MALL DETROIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BELIN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-683-7465"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pink Diamond Beauty Mall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Guillermo Pimentel
• Charity Pinchum
• Annetta Pinder
• Joyce Nicole Pineda Ordonez, MD
• Lynderle L Pineda
• Pink Diamond Crown Collection
• Samuel Ray Pinkerton Jr., RPH
• David Matthew Pinkney, M.D.
• Pinknificent Prosthetic LLC
• Pinnacle Medical Group

• Community Health Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.