Organization Active NPI

Bella Rose Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Linden, NJ
National Provider Identifier
1003379777
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BELLA ROSE RESIDENTIAL SERVICES
Practice address
575 Kent PL
Linden, NJ 07036-5900
Phone
(917) 613-1585
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vyacheslav Gorelik
Title
Director
Phone
(917) 613-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

575 Kent PL
Linden, NJ 07036-5900

Mailing address

575 Kent PL
Linden, NJ 07036-5900

National Provider Directory

National Provider Directory

Locations

575 Kent Pl
Linden, NJ 07036
Phone (732) 271-8010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1003379777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 KENT PL",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 KENT PL",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365900",
            "telephone_number": "917-613-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA ROSE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "GORELIK",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-613-1585"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.