Selena Marie Horne

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L20010905 Issued in DE

Practice address

212 Blue Ball Ave
Elkton, MD 21921-5222

Phone

(406) 206-0077

Fax

(410) 620-6081

NPI assigned

Nov 15, 2023

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Selena Marie Simmons Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ats of Cecil County, LLC

  dba Pine Heights Treatment Center

  • Methadone Clinic
  • Baltimore, MD
  • NPI 1033507827
  NPD (past)

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1912771445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BLUE BALL AVE",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215222",
            "telephone_number": "406-206-0077",
            "fax_number": "410-620-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BLUE BALL AVE",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215222",
            "telephone_number": "406-206-0077",
            "fax_number": "410-620-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "SELENA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DE",
            "license": "L20010905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENA",
            "last_name": "SIMMONS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yegene Hong
• Hope Union Counseling LLC
• Hope Wellness Group
• Hopkins Elite Healthcare
• Jewel Fontaine Hopkins, MSCC, NCC
• Lester Byron Horrell, M.D.
• Frances Horzempa, LCSW-C
• Hospital Physician Specialists
• HPC Health LLC (Hillcrest Pharmacy & compounding of elkton)
• HPC Health LLC (Hillcrest Pharmacy & Compounding of Elkton)

• Licensed Practical Nurse in Elkton, MD
• Providers in Elkton, MD by specialty
• Licensed Practical Nurse in Maryland

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