Organization Active NPI

Bella Vista Continued Care Home

  • Assisted Living Facility
  • Columbia, SC
National Provider Identifier
1356983027
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BELLA VISTA CONTINUED CARE HOME
Practice address
1435 Bella Vista Dr
Columbia, SC 29223-7201
Phone
(803) 206-3098
NPI assigned
Oct 14, 2019
Last updated
Oct 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Gwendolyn Elaine Peterson
Title
President
Phone
(803) 206-3098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1435 Bella Vista Dr
Columbia, SC 29223-7201

Mailing address

1535 Platt Springs Road #4283
West Columbia, SC 29171
Phone (803) 206-3098

National Provider Directory

National Provider Directory

Locations

1535 Platt Springs Rd
Unit 4283
West Columbia, SC 29171

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": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1356983027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 PLATT SPRINGS ROAD #4283",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29171",
            "telephone_number": "803-206-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 BELLA VISTA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237201",
            "telephone_number": "803-206-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA CONTINUED CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-206-3098"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.