Active NPI
Belle Vie Home Health, Inc.
- Home Health Agency
- El Cajon, CA
National Provider Identifier
1487101119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BELLE VIE HOME HEALTH, INC.
- Practice address
- 1220 Greenfield Dr
El Cajon, CA 92021-3316 - Phone
- (760) 504-9857
- NPI assigned
- Sep 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Van Natta
- Title
- President
- Phone
- (760) 504-9857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1220 Greenfield Dr
El Cajon, CA 92021-3316
Mailing address
1220 Greenfield Dr
El Cajon, CA 92021-3316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170411002572 | CA | Part A Provider - Home Health Agency | 0547546210 | Practice locations: El Cajon, CA |
Home health agency certification: CCN 053158
- Legal name
- BELLE VIE HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 8, 2018
- Last certification
- Jun 8, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 15, 2016 in CA
- Enrollment address
- 1220 Greenfield Dr
El Cajon, CA 92021-3316
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Belle Vie Home Health Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 8, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2123485 | Belle Vie Home Health Inc. | Certificate of waiver | Dec 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
1220 Greenfield Dr
El Cajon, CA 92021
Phone (760) 504-9857
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia a Vannatta | 5% Or Greater Direct Ownership Interest | May 10, 2021 | 31.25% |
| Corporate Officer | May 10, 2021 | 31.25% | |
| Corporate Director | May 10, 2021 | 31.25% | |
| W-2 Managing Employee | May 10, 2021 | 31.25% | |
| Thomas W Nielsen | 5% Or Greater Direct Ownership Interest | May 10, 2021 | 18.75% |
| Corporate Officer | May 10, 2021 | 18.75% | |
| Corporate Director | May 10, 2021 | 18.75% | |
| Antonio Gutierrez Camarena | 5% Or Greater Direct Ownership Interest | May 10, 2021 | 31.25% |
| Eric Nielsen | 5% Or Greater Direct Ownership Interest | May 10, 2021 | 18.75% |
| Corporate Officer | Jun 8, 2021 | 18.75% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473552000000",
"number": "1487101119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 GREENFIELD DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920213316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 GREENFIELD DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920213316",
"telephone_number": "760-504-9857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLE VIE HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-11",
"last_updated": "2016-09-11",
"status": "A",
"authorized_official_last_name": "VAN NATTA",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-504-9857"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.