Bello Residential Care Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

BELLO RESIDENTIAL CARE INC

Practice address

1503 Virginia St
San Leandro, CA 94577-1377

Phone

(925) 922-7264

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Azziz Sadiq Ikharo

Title

Ceo

Phone

(925) 922-7264

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1508689068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 VIRGINIA ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 VIRGINIA ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771377",
            "telephone_number": "925-922-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLO RESIDENTIAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "IKHARO",
        "authorized_official_first_name": "AZZIZ",
        "authorized_official_middle_name": "SADIQ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-922-7264"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Assisted Living Facility (Behavioral Disturbances) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.