NPIMap

Organization Active NPI

Bella Vida Bmha LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1508345661
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BELLA VIDA BMHA LLC
Practice address
4550 W Oakey Blvd Ste 104a
Las Vegas, NV 89102-1506
Phone
(702) 427-5307
Fax
(702) 920-0475
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Ms. Dennys BautistaNPI 1104260546
Title
Adminstator
Phone
(702) 427-5307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4550 W Oakey Blvd Ste 104a
Las Vegas, NV 89102-1506

Mailing address

4550 W Oakey Blvd Ste 104a
Las Vegas, NV 89102-1506
Phone (702) 427-5307

National Provider Directory

National Provider Directory

Locations

4550 W Oakey Blvd
Ste 104A
Las Vegas, NV 89102
Phone (702) 427-5307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1508345661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD STE 104A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021506",
            "telephone_number": "702-427-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD STE 104A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021506",
            "telephone_number": "702-427-5307",
            "fax_number": "702-920-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VIDA BMHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "DENNYS",
        "authorized_official_title_or_position": "ADMINSTATOR",
        "authorized_official_telephone_number": "702-427-5307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.