Bella Gardens Senior Living

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BELLA GARDENS SENIOR LIVING

Practice address

8461 Cedar Grove Rd
Fairburn, GA 30213-2338

Phone

(770) 896-1578

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Angelique Letrice Brown

Title

Owner

Phone

(770) 896-1578

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1982913133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 CEDAR GROVE RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132338",
            "telephone_number": "770-896-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 CEDAR GROVE RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132338",
            "telephone_number": "770-896-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA GARDENS SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "LETRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-896-1578"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.