Provider Demographics
NPI:1376078105
Name:BELLA FAMILY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:BELLA FAMILY HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BASRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-953-8335
Mailing Address - Street 1:5707 SEMINARY RD STE 309
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3066
Mailing Address - Country:US
Mailing Address - Phone:703-373-3207
Mailing Address - Fax:703-373-3208
Practice Address - Street 1:5827 COLUMBIA PIKE STE 316
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2036
Practice Address - Country:US
Practice Address - Phone:703-373-3207
Practice Address - Fax:703-373-3208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-30
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
VAHCO-171626305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No251E00000XAgenciesHome Health