Provider Demographics
NPI:1154644144
Name:BELLA ENTERPRISES LLC
Entity Type:Organization
Organization Name:BELLA ENTERPRISES LLC
Other - Org Name:BELLA HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAECHELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-424-6500
Mailing Address - Street 1:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:CLARE
Mailing Address - State:MI
Mailing Address - Zip Code:48617-0022
Mailing Address - Country:US
Mailing Address - Phone:989-424-6500
Mailing Address - Fax:
Practice Address - Street 1:404 N MCEWAN ST
Practice Address - Street 2:SUITE B
Practice Address - City:CLARE
Practice Address - State:MI
Practice Address - Zip Code:48617-1403
Practice Address - Country:US
Practice Address - Phone:989-424-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care