Provider Demographics
NPI:1497210017
Name:BELLA MENTE INC.
Entity Type:Organization
Organization Name:BELLA MENTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEGHANN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-301-7301
Mailing Address - Street 1:114 BROCK LN
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-9211
Mailing Address - Country:US
Mailing Address - Phone:218-301-7301
Mailing Address - Fax:888-291-6818
Practice Address - Street 1:114 BROCK LN
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-9211
Practice Address - Country:US
Practice Address - Phone:218-301-7301
Practice Address - Fax:888-291-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA318622100Medicaid