Provider Demographics
NPI:1437818259
Name:BELLA ALF LLC
Entity Type:Organization
Organization Name:BELLA ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILIANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:PUERTAS ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-924-2425
Mailing Address - Street 1:17783 S.W. 145TH AVE.
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2695
Mailing Address - Country:US
Mailing Address - Phone:786-478-6992
Mailing Address - Fax:786-478-6992
Practice Address - Street 1:17783 S.W. 145TH AVE.
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2695
Practice Address - Country:US
Practice Address - Phone:786-478-6992
Practice Address - Fax:786-478-6992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0000000000Medicaid