Organization Active NPI

Bella'S Health Care Services, Inc

  • Home Health Agency
  • Decatur, GA
National Provider Identifier
1790335305
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BELLA'S HEALTH CARE SERVICES, INC
Practice address
2966 Flat Shoals Rd
Decatur, GA 30034-2649
Phone
(302) 602-2590
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Kia J Henderson, CNA
Title
Ceo
Phone
(302) 602-2590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2966 Flat Shoals Rd
Decatur, GA 30034-2649

Mailing address

2966 Flat Shoals Rd
Decatur, GA 30034-2649
Phone (302) 602-2590

Other identifiers 1

IdentifierTypeStateIssuer
000123456789MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KIAJHENDERS@OUTLOOK.COM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1790335305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 FLAT SHOALS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342649",
            "telephone_number": "302-602-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2966 FLAT SHOALS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342649",
            "telephone_number": "302-602-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA'S HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-602-2590",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000123456789",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KIAJHENDERS@OUTLOOK.COM",
            "affiliation": "N",
            "address_1": "2966 Flat Shoals Rd",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300342649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.