Provider Demographics
NPI:1295597904
Name:BELLA CARE HOMELLC
Entity type:Organization
Organization Name:BELLA CARE HOMELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNER
Authorized Official - Middle Name:
Authorized Official - Last Name:ABELLA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:725-500-7868
Mailing Address - Street 1:9900 VERMILLION CLIFFS AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8073
Mailing Address - Country:US
Mailing Address - Phone:702-979-6074
Mailing Address - Fax:
Practice Address - Street 1:9900 VERMILLION CLIFFS AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8073
Practice Address - Country:US
Practice Address - Phone:702-979-6074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home