Mirabella Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIRABELLA HEALTH SERVICES LLC

Practice address

5512 Silver Bow TRL
Arlington, TX 76017-3141

Phone

(817) 980-2476

NPI assigned

Sep 29, 2011

Organization subpart

No

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

Authorized official

Name

Jennifer Stettler

Title

Manger

Phone

(817) 980-2476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1497039200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 SILVER BOW TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760173141",
            "telephone_number": "817-980-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 SILVER BOW TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760173141",
            "telephone_number": "817-980-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRABELLA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "STETTLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "817-980-2476"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mismo Derm and Wound TX Ed PLLC
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• Home Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.