BELLA ROSE SKIN CARE AND WELLNESS CENTER
NPI 1669004875
Clinic/Center - Health Service in Alpena, MI

Active since February 05, 2020CLIA 23D2181464 · Waiver
114 E OLDFIELD ST, ALPENA, MI 49707(989) 464-1883 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2020, Feb 5, 2020 (2 updates tracked since 2020).

About Bella Rose Skin Care And Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLA ROSE SKIN CARE AND WELLNESS CENTER (NPI 1669004875) is a healthcare organization registered as a health service in Alpena, Michigan and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Jessica Glenn-beatty, Owner, as its authorized official.

NPPES Registry Identity

NPI1669004875
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBELLA ROSE SKIN CARE PLLC
Location Address114 E OLDFIELD STAlpena, MI 49707-2354
Mailing Address114 E Oldfield StAlpena, MI 49707-2354
Organization SubpartNo
Authorized OfficialJessica Glenn-beattyOwner · (989) 464-1883
Enumeration DateFebruary 5, 2020
Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
NPI 1669004875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
114 E OLDFIELD ST, Alpena, MI 49707

Other Names 1

Doing Business AsBella Rose Skin Care And Wellness Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2181464

Bella Rose Skin Care And Wellness Center · Alpena, MI
Active · expires Sep 14, 2027
CLIA Number23D2181464
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorJessica R. Bruning
Laboratory Phone(989) 464-1883
Laboratory LocationBella Rose Skin Care And Wellness Center104 N 2nd Avenue, Alpena, MI 49707
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
114 E OLDFIELD ST
ALPENA, MI 49707
Family Medicine
114 E OLDFIELD ST
ALPENA, MI 49707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669004875, enumerated as an "organization" on February 05, 2020.

The provider is located at 114 E OLDFIELD ST ALPENA, MI 49707 and the phone number is (989) 464-1883.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.