Bella Rose Healthcare L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BELLA ROSE HEALTHCARE L.L.C.

Doing business as

Serenity Personal Care Home

Practice address

7661 Kayne Blvd Ste a
Columbus, GA 31909-2546

Phone

(706) 221-3520

Fax

(706) 221-3522

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Antionette Mundy, LPN, LTC ADMIN

Title

Owner/Administrator

Phone

(762) 822-9567

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serenity Personal Care Home Doing business as

Locations

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1053180349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 KAYNE BLVD STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092546",
            "telephone_number": "706-221-3520",
            "fax_number": "706-221-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7661 KAYNE BLVD STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092546",
            "telephone_number": "706-221-3520",
            "fax_number": "706-221-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA ROSE HEALTHCARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "ANTIONETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "762-822-9567",
        "authorized_official_credential": "LPN, LTC ADMIN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "PCH012233",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janitra Bell
• Kadecha Vontrese Bell
• Kathleen Bell, LMSW
• Laura Bell
• Tonia Louise Bell, CERTIFIED HAIR LOSS
• Christina Nicole Bellam, FNP-C
• Clayton Paul Michael Bellam, DO
• Denise Bellamy-West
• Betty D Bellamy
• Cortasia Shantel Bellamy

• Assisted Living Facility in Columbus, GA
• Providers in Columbus, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.