Shades of Beauty Care Services LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

SHADES OF BEAUTY CARE SERVICES LLC

Practice address

7714 N 82ND Ave
Omaha, NE 68122-1541

Phone

(402) 415-9639

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Rontasha Johnson, LPNNPI 1144822776

Title

Owner

Phone

(402) 415-9639

Specialties & licenses 5

Addresses

Other names 1

• Shades of Beauty Healthcare Doing business as

Practitioners 1

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

• Rontasha Johnson

  • Licensed Practical Nurse
  • Omaha, NE
  • NPI 1144822776
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1417711896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 N 82ND AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221541",
            "telephone_number": "402-415-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 N 82ND AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221541",
            "telephone_number": "402-415-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF BEAUTY CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONTASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-415-9639",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shades of Beauty Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendi Lea Seyler
• Sarah Seymour
• Michelle Maria Sgourakis, APRN
• Alyssa Ann Shackelford
• Raymond Scott Shaddy, DDS
• Marcia Shadle-Cusic, LMHP
• Linda Marie Shadoin-Grier
• Claire Shafer
• Derek Shafer, M.D.
• Natalie L Shafer, APRN-NP

• Licensed Practical Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• Licensed Practical Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.