Bethesda Belle Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BETHESDA BELLE CARE

Practice address

11233 Wheeler Ridge Dr
Manassas, VA 20109-5721

Phone

(703) 364-8275

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Brownhilda Lisonge Enanga

Title

Ceo

Phone

(703) 364-8275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1093480972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 WHEELER RIDGE DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095721",
            "telephone_number": "703-364-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11233 WHEELER RIDGE DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095721",
            "telephone_number": "703-364-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA BELLE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "ENANGA",
        "authorized_official_first_name": "BROWNHILDA",
        "authorized_official_middle_name": "LISONGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-364-8275"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.