Provider Demographics
NPI:1508155672
Name:BELL CARE NURSES REGISTRY, INC
Entity Type:Organization
Organization Name:BELL CARE NURSES REGISTRY, INC
Other - Org Name:CSI BELL CARE NURSES REGISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-821-1262
Mailing Address - Street 1:10451 NW 117TH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1116
Mailing Address - Country:US
Mailing Address - Phone:305-821-1262
Mailing Address - Fax:
Practice Address - Street 1:1150 NE 125TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5019
Practice Address - Country:US
Practice Address - Phone:305-821-1262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREGIVER SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30210951253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care