Bellarae Home Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

04V336 Issued in CO

Legal business name

BELLARAE HOME CARE AGENCY, LLC

Practice address

784 Crystal Way
Fruita, CO 81521-3317

Phone

(970) 361-3399

Fax

(877) 679-2777

NPI assigned

Dec 13, 2016

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Guara

Title

Agency Manager

Phone

(970) 361-3399

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1245774074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 CRYSTAL WAY",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815213317",
            "telephone_number": "970-361-3399",
            "fax_number": "877-679-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 CRYSTAL WAY",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815213317",
            "telephone_number": "970-361-3399",
            "fax_number": "877-679-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLARAE HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "GUARA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "970-361-3399"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04Z835",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04V336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO SUBLICENSE FOR IN-HOME SUPPORT SERVICES",
            "identifier": "04V336",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO HOME CARE AGENCY CLASS-B NON-MEDICAL LICENSE",
            "identifier": "04Z835",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Anderson, PT
• Gary Gene Andreoletti, D.D.S.
• Ashoka Mind and Body LLC
• Shannon Auckly, RN
• B & L Specialty Team
• Brian Knight Belnap, MD
• Lauren Nicole Bieker, PHARMD, RPH
• Jonathan E Blaha, D.C.
• Elisa M Blair, RN, BSN
• Michelle Bland

• In Home Supportive Care Agency in Fruita, CO
• Providers in Fruita, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.