Bella Vita Congregate Living, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

550003868 Issued in CA

Legal business name

BELLA VITA CONGREGATE LIVING, LLC

Practice address

16092 Constable Rd
Riverside, CA 92504-5664

Phone

(951) 800-8435

Fax

(951) 429-7162

NPI assigned

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sonya Lisette Harrell, RN, ACNP-BCNPI 1487981296

Title

Nurse Administrator/Owner

Phone

(951) 640-8170

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonya Lisette Harrell, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Loma Linda, CA
  • NPI 1487981296
  NPD Authorized official

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1972024420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17130 VAN BUREN BLVD # 134",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045905",
            "telephone_number": "951-800-8435",
            "fax_number": "951-429-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16092 CONSTABLE RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045664",
            "telephone_number": "951-800-8435",
            "fax_number": "951-429-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VITA CONGREGATE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "LISETTE",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "951-640-8170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "550003868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meejung Belasco, APNP
• Donna Lynn Belger
• David Sisak Beljaev
• Alfred Russell Bell
• Evelyn Bell
• Imani Bellamy
• Bellator Psychological and Consultants Corporation
• Kimberly Belleza
• Opeyemi Adunni Bello, NP
• Brianna Elena Belmontez

• Nursing Facility/Intermediate Care Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.