Provider Demographics
NPI:1578157491
Name:BELLA HOME CARE ASSISTED LIVING
Entity Type:Organization
Organization Name:BELLA HOME CARE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAIYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ULOFOSHIO
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:190-783-0317
Mailing Address - Street 1:8621 KUSHTAKA CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4208
Mailing Address - Country:US
Mailing Address - Phone:190-777-0007
Mailing Address - Fax:907-770-9152
Practice Address - Street 1:8621 KUSHTAKA CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4208
Practice Address - Country:US
Practice Address - Phone:190-777-0007
Practice Address - Fax:907-770-9152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care