Active NPI
Bella'S Health Care Services, Inc
- Home Health Agency
- Decatur, GA
National Provider Identifier
1790335305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000123456789 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KIAJHENDERS@OUTLOOK.COM |
National Provider Directory
National Provider DirectoryNPI 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.