Ark Angel, II LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ARK ANGEL, II LLC

Doing business as

Bella Vista

Practice address

1641 D St
Hayward, CA 94541-4320

Phone

(510) 397-0751

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haidie Bautista

Title

Licensee

Phone

(510) 677-6561

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bella Vista Doing business as

Locations

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1598480766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28759 VISTA GRANDE DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945446703",
            "telephone_number": "510-677-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 D ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414320",
            "telephone_number": "510-397-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK ANGEL, II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "HAIDIE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "510-677-6561"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FOR THE ELDERLY",
            "identifier": "019201202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Arevalo
• Isaac George Argyropoulos
• Evelyn Marquez Arias
• Sandra Yuridia Arias
• Afifah Arif
• Navpreet K Arora, DDS
• Iris Arreola Bernal
• Leticia Arreola-Garcia, BS, MS, LMFT
• Isabella Arrieta
• Christina Arteaga

• Assisted Living Facility in Hayward, CA
• Providers in Hayward, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.