Provider Demographics
NPI:1881919074
Name:BELLA HOME CARE SERVICE, LLC
Entity type:Organization
Organization Name:BELLA HOME CARE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSADAQ
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-323-4912
Mailing Address - Street 1:8989 COTSWOLD DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1601
Mailing Address - Country:US
Mailing Address - Phone:703-323-4912
Mailing Address - Fax:703-323-4914
Practice Address - Street 1:8989 COTSWOLD DR
Practice Address - Street 2:SUITE 7
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1601
Practice Address - Country:US
Practice Address - Phone:703-323-4912
Practice Address - Fax:703-323-4914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0158741477Medicaid
VA0158858313Medicaid