Amaryllis Beaute Haven, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

AMARYLLIS BEAUTE HAVEN, LLC

Practice address

600 Jefferson Ave Ste 170
Toledo, OH 43604-1071

Phone

(419) 407-6031

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Selena Barabino, BSN, RNNPI 1497310155

Title

Owner

Phone

(419) 407-6031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Selena Barabino

  • Home Health Registered Nurse
  • Toledo, OH
  • NPI 1497310155
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1821856931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 SCHNEIDER RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143651",
            "telephone_number": "419-509-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON AVE STE 170",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041071",
            "telephone_number": "419-407-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARYLLIS BEAUTE HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "BARABINO",
        "authorized_official_first_name": "SELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-407-6031",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.