Provider Demographics
NPI:1164775805
Name:BELA'S VILLA
Entity Type:Organization
Organization Name:BELA'S VILLA
Other - Org Name:BELAS CARE COTTAGE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLENDADALE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-445-9199
Mailing Address - Street 1:8901 FM 1960 BYPASS WEST #102
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4019
Mailing Address - Country:US
Mailing Address - Phone:281-446-0061
Mailing Address - Fax:281-446-1353
Practice Address - Street 1:3646 BECKETT RIDGE DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4018
Practice Address - Country:US
Practice Address - Phone:832-445-9199
Practice Address - Fax:281-446-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home