LA VITA BELLA HOME HEALTH LLC (NPI# 1821599226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821599226 |
| Entity Type | Organization |
| Organization Name | LA VITA BELLA HOME HEALTH LLC |
| Practice Address |
5901 Indian School Rd Ne Ste 102 Albuquerque NM 87110-5200 |
| Mailing Address |
8201 Golf Course Rd Nw Ste D3, #221 Albuquerque NM 87120-5841 |
| Practice Telephone | 5058145388 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | JAHNELLE TAYLOR (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 5052399146 |
| Authorized Official Credential | RN MSN CNL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 3599 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | HOME HEALTH AGENCY LICENSE TO MAINTAIN AND OPERATE | 3599 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9559 Sun Dancer Dr Nw, Albuquerque, NM 871146093 | 5052399146 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LA VITA BELLA HOME HEALTH LLC | 9559 Sun Dancer Dr Nw, Albuquerque, NM 87114-6093 |
| Street Address |
5901 INDIAN SCHOOL RD NE STE 102 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881221661 | La Vita Bella Home Healthcare LLC | Home Health Aide | 5901 Indian School Rd Ne Ste 102, Albuquerque, NM 87110-5200 | 2020-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386977 | Gina D Padilla | Home Health | 1307 San Pedro Dr Ne, Albuquerque, NM 87110-6727 | 2020-11-04 |
| 1598365066 | Ricelands Home Health Care and Hospice LLC | Home Health | 9215 Layton Ave Ne, Albuquerque, NM 87111-1335 | 2020-10-26 |
| 1073135216 | At Home Not Alone Care, LLC | Home Health | 3410 Anderson Ave Se Rear, Albuquerque, NM 87106-2408 | 2020-05-11 |
| 1396370383 | Md Health Care LLC | Home Health | 8019 Edith Blvd Ne Ste 206, Albuquerque, NM 87113-1433 | 2020-03-10 |
| 1124650817 | United One Home Care LLC | Home Health | 3321b Candelaria Rd Ne Ofc 320, Albuquerque, NM 87107-1908 | 2020-02-10 |
| 1316595184 | Simplicity Home Health Care | Home Health | 7920 Mountain Rd Ne Ste B, Albuquerque, NM 87110-7800 | 2019-08-26 |
| 1952960817 | Mary T Martinez | Home Health | 585 Osuna Rd Ne Ste F, Albuquerque, NM 87113-1084 | 2019-06-12 |
| 1689230658 | Norma Araceli Ortega | Home Health | 9319 Starboard Rd Nw, Albuquerque, NM 87121-1968 | 2019-05-15 |
| 1134618432 | Alexis Duran | Home Health | 11005 Desert Dreamer St Nw, Albuquerque, NM 87114-6509 | 2018-05-02 |
| 1093213043 | Wellness Health Services, LLC | Home Health | 4300 Carlisle Blvd Ne Ste 4, Albuquerque, NM 87107-4827 | 2018-01-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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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.