Provider Demographics
NPI:1912872284
Name:BELLAHOMECARE LLC
Entity type:Organization
Organization Name:BELLAHOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:TORNO
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-998-8022
Mailing Address - Street 1:4135 DEBBYANN PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-2531
Mailing Address - Country:US
Mailing Address - Phone:406-998-8022
Mailing Address - Fax:619-349-2325
Practice Address - Street 1:4135 DEBBYANN PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-2531
Practice Address - Country:US
Practice Address - Phone:406-998-8022
Practice Address - Fax:619-349-2325
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BELLAHOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home