Provider Demographics
NPI:1437940269
Name:BELLA ANGEL CARE, LLC
Entity type:Organization
Organization Name:BELLA ANGEL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-930-4603
Mailing Address - Street 1:3570 W ESTATE DR
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-6525
Mailing Address - Country:US
Mailing Address - Phone:208-930-4603
Mailing Address - Fax:
Practice Address - Street 1:3570 W ESTATE DR
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-6525
Practice Address - Country:US
Practice Address - Phone:208-930-4603
Practice Address - Fax:208-719-8487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services