Bella'S Reserve

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BELLA'S RESERVE

Practice address

2120 Industrial Pkwy
Silver Spring, MD 20904-1998

Phone

(301) 622-0400

Fax

(301) 622-4383

NPI assigned

Nov 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Kim, MD

Title

Physician/Owner

Phone

(301) 622-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bella'S Reserve2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JSK Care Group, LLC

  • Adult Day Care Clinic/Center
  • Silver Spring, MD
  • NPI 1568745438
  NPD tax ID

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1942577960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 INDUSTRIAL PKWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041998",
            "telephone_number": "301-622-0400",
            "fax_number": "301-622-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 INDUSTRIAL PKWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041998",
            "telephone_number": "301-622-0400",
            "fax_number": "301-622-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA'S RESERVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "301-622-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420736000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aster Haile Belete
• Edom Z Belete, PA
• Beli Counseling LLC
• James Thomas Bell
• Monique Bell
• Gabriel Bellagamba, NCSP
• Margaret R Belland, LMT
• Shruthi Bellapu, M.D.
• Dawn Bellinger
• Naomi Bellot Norman

• Adult Day Care Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.