BELLA VIDA HEALTH SERVICES LLC (NPI# 1104442847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104442847 |
| Entity Type | Organization |
| Organization Name | BELLA VIDA HEALTH SERVICES LLC |
| Other Organization Name | BELLA VIDA HEALTH SERVICES LLC |
| Practice Address |
330 N Campo St Las Cruces NM 88001-3433 |
| Mailing Address |
Po Box 1731 Las Cruces NM 88004-1731 |
| Practice Telephone | 5752881336 |
| Practice Fax Number | 5752224453 |
| Mailing Telephone | 5752881336 |
| Mailing Fax Number | 5752224453 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | DR. DIANA MARIE PORTILLO (OWNER/PROVIDER) |
| Authorized Official Telephone | 5752881336 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bella Vida Health Services LLC | Doing Business As Name - Organization |
| Street Address |
330 N CAMPO ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710824 | Jacqueline Villalobos | Naturopath | 330 N Campo St, Las Cruces, NM 88001-3433 | 2006-05-24 |
| 1649887092 | Jacqueline Villalobos Nd LLC | Clinic/Center | 330 N Campo St, Las Cruces, NM 88001-3433 | 2020-09-29 |
| 1508482316 | Wellness and Aesthetics LLC | Nurse Practitioner | 330 N Campo St, Las Cruces, NM 88001-3433 | 2020-06-18 |
| 1013300854 | Lisa Noelani Chavez | Social Worker | 330 N Campo St, Las Cruces, NM 88001-3433 | 2015-03-17 |
| 1417360843 | Anna Lopez | Counselor | 330 N Campo St, Las Cruces, NM 88001-3433 | 2014-06-03 |
| 1225448954 | Nick Barneclo,llc | Psychologist | 330 N Campo St, Las Cruces, NM 88001-3433 | 2014-05-02 |
| 1194049841 | Diana Portillo | Nurse Practitioner | 330 N Campo St, Las Cruces, NM 88001-3433 | 2010-03-24 |
| 1568786820 | Rachel Saavedra | Nurse Practitioner | 330 N Campo St, Las Cruces, NM 88001-3433 | 2010-03-16 |
| 1447589569 | Nick Anthony Barneclo | Psychologist | 330 N Campo St, Las Cruces, NM 88001-3433 | 2009-12-19 |
| 1134278179 | Max Mastellone | Psychologist | 330 N Campo St, Las Cruces, NM 88001-3433 | 2007-01-09 |
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|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134304389 | Dona Ana Family Clinic PC | Clinic/Center | 2301 Saturn Cir, Las Cruces, NM 88012-7727 | 2008-01-07 |
| 1659304681 | Isabel C. Vigil, Md, PC | Clinic/Center | 2803 Doral Ct, Las Cruces, NM 88011-8616 | 2006-07-10 |
| 1629540125 | Elite Aesthetics | Clinic/Center | 8175 Constitution Rd, Las Cruces, NM 88007-8984 | 2018-12-20 |
| 1104338490 | Healthcare Psychiatry LLC | Clinic/Center | 3865 E Lohman Ave Ste 2, Las Cruces, NM 88011-8292 | 2017-10-26 |
| 1912367434 | Fesss Family Heathcare | Clinic/Center | 3039 Memorial Ct, Las Cruces, NM 88011-9127 | 2016-02-25 |
| 1811377047 | Esperanza Medical & Wellness | Clinic/Center | 2455 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2015-06-03 |
| 1043561699 | Smart Care, Inc. | Clinic/Center | 2801 Missouri Ave Ste 12, Las Cruces, NM 88011-5061 | 2012-09-23 |
| 1679764880 | Baldomero P Garcia Md Pa | Clinic/Center | 3003 Hillrise Dr, Suite A, Las Cruces, NM 88011-4897 | 2007-08-05 |
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| 1417591413 | Old Town Primary Care, Inc. | Clinic/Center | 501 14th St Nw, Albuquerque, NM 87104-1729 | 2019-11-01 |
| 1881251411 | Merit Family Medicine | Clinic/Center | 4020 Peggy Rd Se Ste D, Rio Rancho, NM 87124-1035 | 2019-05-20 |
| 1013464379 | Ortega Wellness, LLC | Clinic/Center | 2147 Cortina Loop Se, Rio Rancho, NM 87124-8935 | 2016-09-04 |
| 1699131938 | Leah Atkinson, Fnp, LLC | Clinic/Center | Hc 75 Box 1091, Los Ojos, NM 87551-9707 | 2015-12-31 |
| 1124499058 | Allied Health & Wellness, LLC | Clinic/Center | 3101 Boyd Dr, Carlsbad, NM 88220-4796 | 2015-10-19 |
| 1093186694 | The Nurses Touch Family Healthcare Practitioners | Clinic/Center | 808 W Manana Blvd, Clovis, NM 88101-3459 | 2015-10-08 |
| 1700269412 | Adler Medical LLC | Clinic/Center | 4241 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2015-06-30 |
| 1699165779 | Tlc Home Health Care, LLC | Clinic/Center | 110 S Halagueno St Ste 4, Carlsbad, NM 88220-5748 | 2015-01-28 |
| 1376931980 | Better Healing | Clinic/Center | 872 S Camino Del Pueblo Ste E, Bernalillo, NM 87004-5958 | 2015-01-05 |
| 1386040525 | Shiprock Clinic | Clinic/Center | 1 Mi E San Juan River Bridge Us Hwy 64, Shiprock, NM 87420 | 2014-11-17 |
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| City | LAS CRUCES |
| Zip Code | 88001 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.