Artistic Rose Salon, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ARTISTIC ROSE SALON, LLC

Doing business as

Authentic Wig Shop & Salon, LLC

Practice address

216 Misty Pond Ter
Purcellville, VA 20132-6149

Phone

(571) 246-2438

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rosemarie Mohammed

Title

President

Phone

(571) 246-2438

Specialties & licenses 1

Addresses

Other names 1

• Authentic Wig Shop & Salon, LLC Doing business as

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1346016011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2573",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201344573",
            "telephone_number": "571-246-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MISTY POND TER",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326149",
            "telephone_number": "571-246-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISTIC ROSE SALON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-246-2438",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Wig Shop & Salon, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debora E Amichia, PMHNP
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• Debra Babarsky, M.A., L.P.C.
• Mudher Rafid Bahar, DMD
• Mirza Shayan Baig, DDS

• Customized Equipment (DME) in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.