Organization Active NPI

Bella-Brooke, LLC

  • Adult Day Care Clinic/Center
  • Chillicothe, MO
National Provider Identifier
1265860852
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1137 Issued in MO
Legal business name
BELLA-BROOKE, LLC
Practice address
1115 2ND St
Chillicothe, MO 64601-2134
Phone
(660) 646-1595
Fax
(660) 646-1595
NPI assigned
Oct 17, 2013
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Mrs. Diana Lynn Deardorff, LPN
Title
Owner/ Healthcare Cordinator
Phone
(660) 646-1595

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Day Care Clinic/Center 261QA0600X 1137 MO Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

1115 2ND St
Chillicothe, MO 64601-2134

Mailing address

1115 2ND St
Chillicothe, MO 64601-2134
Phone (660) 646-1595

National Provider Directory

National Provider Directory

Locations

1115 2nd St
Chillicothe, MO 64601
Phone (660) 646-1595

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1265860852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 2ND ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012134",
            "telephone_number": "660-646-1595",
            "fax_number": "660-646-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 2ND ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012134",
            "telephone_number": "660-646-1595",
            "fax_number": "660-646-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA-BROOKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "DEARDORFF",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ HEALTHCARE CORDINATOR",
        "authorized_official_telephone_number": "660-646-1595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1137",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.