Provider Demographics
NPI:1477386761
Name:BELLA G HOME CARE LLC
Entity type:Organization
Organization Name:BELLA G HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-841-1081
Mailing Address - Street 1:2512 PEPPERFIELD CT
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-6710
Mailing Address - Country:US
Mailing Address - Phone:636-841-1081
Mailing Address - Fax:
Practice Address - Street 1:400 CHESTERFIELD CTR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4834
Practice Address - Country:US
Practice Address - Phone:636-841-1081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care