Provider Demographics
NPI:1518339696
Name:PINK REGALIA, LLC
Entity Type:Organization
Organization Name:PINK REGALIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:STEPHANY
Authorized Official - Middle Name:SAGE
Authorized Official - Last Name:SEMONES
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:828-506-9591
Mailing Address - Street 1:PO BOX 1362
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-1362
Mailing Address - Country:US
Mailing Address - Phone:828-454-1004
Mailing Address - Fax:828-454-1003
Practice Address - Street 1:485 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2765
Practice Address - Country:US
Practice Address - Phone:828-785-1881
Practice Address - Fax:828-785-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment