Organization Active NPI

B&V la Belle Vie Assisted Living LLC

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1992290134
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
B&V LA BELLE VIE ASSISTED LIVING LLC
Practice address
193 Eldron Blvd NE
Palm Bay, FL 32907-3088
Phone
(321) 872-4642
Fax
(321) 216-3148
NPI assigned
Jun 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Balaguel MevoicyNPI 1649513706
Title
Admin
Phone
(321) 872-4642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X

Addresses

Primary practice location

193 Eldron Blvd NE
Palm Bay, FL 32907-3088

Mailing address

193 Eldron Blvd NE
Palm Bay, FL 32907-3088
Phone (321) 872-4642

Other identifiers 1

IdentifierTypeStateIssuer
008552300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1992290134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 ELDRON BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073088",
            "telephone_number": "321-872-4642",
            "fax_number": "321-216-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 ELDRON BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073088",
            "telephone_number": "321-872-4642",
            "fax_number": "321-216-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&V LA BELLE VIE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "MEVOICY",
        "authorized_official_first_name": "BALAGUEL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "321-872-4642"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008552300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.