NPIMap

Organization Active NPI

Bella-Rouge Health Care Inc

  • Health Service Clinic/Center
  • Jackson, MS
National Provider Identifier
1104439835
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BELLA-ROUGE HEALTH CARE INC
Doing business as
Bella- Rouge Health Care INC
Bella-Rouge Health Care INC
Practice address
4510 Office Park Dr
Jackson, MS 39206-6016
Phone
(225) 433-3172
Fax
(601) 228-4471
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Blanche Mae Bell, NURSE PRACTITIONERNPI 1053356410
Title
DNP
Phone
(305) 978-4907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

4510 Office Park Dr
Jackson, MS 39206-6016

Mailing address

PO Box 70
Natchez, MS 39121-0070
Phone (225) 433-3172

Other names 2

  • Bella- Rouge Health Care INC Doing business as
  • Bella-Rouge Health Care INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1104439835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391210070",
            "telephone_number": "225-433-3172",
            "fax_number": "601-228-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 OFFICE PARK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392066016",
            "telephone_number": "225-433-3172",
            "fax_number": "601-228-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA-ROUGE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "BLANCHE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "305-978-4907",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella- Rouge Health Care INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bella- Rouge Health Care INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bella-Rouge Health Care INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

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