Provider Demographics
NPI:1225647290
Name:BELLA MAE HOME CARE
Entity Type:Organization
Organization Name:BELLA MAE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:J
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-806-8724
Mailing Address - Street 1:3438 MIDNIGHT SHADOWS WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032
Mailing Address - Country:US
Mailing Address - Phone:702-806-8724
Mailing Address - Fax:
Practice Address - Street 1:3438 MIDNIGHT SHADOWS WAY
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAAS
Practice Address - State:NV
Practice Address - Zip Code:89032
Practice Address - Country:US
Practice Address - Phone:702-806-8724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health