Belle Vista Retirement Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7261 Issued in FL

Legal business name

BELLE VISTA RETIREMENT HOME, INC.

Practice address

1453 Belleair Rd
Clearwater, FL 33756-2356

Phone

(727) 587-0880

Fax

(727) 588-2397

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Beverly C. Mackin

Title

Administrator

Phone

(727) 587-0880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BELLE VISTA Doing business as

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1992958185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 BELLEAIR RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562356",
            "telephone_number": "727-587-0880",
            "fax_number": "727-588-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 BELLEAIR RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562356",
            "telephone_number": "727-587-0880",
            "fax_number": "727-588-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE VISTA RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "MACKIN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-587-0880"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674094403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLE VISTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Bell, P.T., D.P.T.
• Logan Bell
• Stephanie Bell
• Vivian Bell, BCBC
• Bella Companion Care LLC
• Belleair East HCC, LLC
• Belleair Health Care Centre
• Belleair Smiles
• Belleair Surgery Center LTD
• Belongie Orthopedics LLC

• All providers in Clearwater, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.