Organization Active NPI

Bellas House Corp

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1912728205
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BELLAS HOUSE CORP
Practice address
7016 N Dakota Ave
Tampa, FL 33604-5328
Phone
(813) 505-5564
Fax
(813) 433-5583
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Martha Medina, PRESIDENT
Title
President
Phone
(813) 505-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7016 N Dakota Ave
Tampa, FL 33604-5328

Mailing address

7016 N Dakota Ave
Tampa, FL 33604-5328
Phone (813) 505-5564

Other names 1

  • BELLAS HOUSE CORP Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1912728205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 N DAKOTA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045328",
            "telephone_number": "813-505-5564",
            "fax_number": "813-433-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 N DAKOTA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045328",
            "telephone_number": "813-505-5564",
            "fax_number": "813-433-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAS HOUSE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-505-5564",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLAS HOUSE CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.