Provider Demographics
NPI:1821826009
Name:LA BELLA FLEUR HEALTHCARE CENTER, INC
Entity type:Organization
Organization Name:LA BELLA FLEUR HEALTHCARE CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONSERRATH
Authorized Official - Middle Name:
Authorized Official - Last Name:VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-334-7741
Mailing Address - Street 1:PO BOX 6011
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-0001
Mailing Address - Country:US
Mailing Address - Phone:301-368-4286
Mailing Address - Fax:303-835-7202
Practice Address - Street 1:5800 S QUEBEC ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2004
Practice Address - Country:US
Practice Address - Phone:720-334-7741
Practice Address - Fax:303-835-7202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LA BELLA FLEUR HEALTHCARE CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No364SP0812XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, CommunityGroup - Multi-Specialty