Provider Demographics
NPI:1275822504
Name:BELLA HOME CARE LLC
Entity Type:Organization
Organization Name:BELLA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:QUINN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-253-2940
Mailing Address - Street 1:3987 WHISPERING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4353
Mailing Address - Country:US
Mailing Address - Phone:443-253-2940
Mailing Address - Fax:410-655-0408
Practice Address - Street 1:3987 WHISPERING MEADOW DR
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-4353
Practice Address - Country:US
Practice Address - Phone:443-253-2940
Practice Address - Fax:410-655-0408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3009P251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care