BELLA'S RESERVE (NPI# 1942577960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942577960 |
Entity Type | Organization |
Organization Name | BELLA'S RESERVE |
Practice Address |
2120 Industrial Pkwy Silver Spring MD 20904-1998 |
Practice Telephone | 3016220400 |
Practice Fax Number | 3016224383 |
Mailing Telephone | 3016220400 |
Mailing Fax Number | 3016224383 |
Enumeration Date | 2011-11-18 |
Last Update Date | 2011-11-18 |
Authorized Official Name | DR. JOHN KIM (PHYSICIAN/OWNER) |
Authorized Official Telephone | 3016220400 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 420736000 | 05 |
Street Address |
2120 INDUSTRIAL PKWY |
City | SILVER SPRING |
State | MD |
Zip Code | 20904-1998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417174871 | Nuhorizon, LLC | Clinic/Center | 2120 Industrial Pkwy, Silver Spring, MD 20904-1904 | 2007-04-19 |
1821637844 | Sunbeam Care Rehab Services LLC | Physical Therapist | 2120 Industrial Pkwy, Silver Spring, MD 20904-1998 | 2019-12-23 |
1568745438 | Jsk Care Group, LLC | Clinic/Center | 2120 Industrial Pkwy, Silver Spring, MD 20904-1998 | 2011-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
Find all providers in zip 20904 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
1073165619 | Aastha Amdc, LLC | Clinic/Center | 12210 Plum Orchard Dr Ste 214, Silver Spring, MD 20904-7913 | 2019-07-14 |
1023494234 | Lucia Rosario | Clinic/Center | 2113 Plyers Mill Rd, 2113 Plyers Mill Rd, Silver Spring, MD 20902 | 2015-08-11 |
1417174871 | Nuhorizon, LLC | Clinic/Center | 2120 Industrial Pkwy, Silver Spring, MD 20904-1904 | 2007-04-19 |
1568745438 | Jsk Care Group, LLC | Clinic/Center | 2120 Industrial Pkwy, Silver Spring, MD 20904-1998 | 2011-09-27 |
1790921997 | Easter Seals Adult Day Services-igc | Clinic/Center | 1420 Spring St, Silver Spring, MD 20910-2701 | 2008-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083241210 | Fahrney-keedy Memorial Home, Inc. | Clinic/Center | 21 Mountain View Drive, Boonsboro, MD 21713 | 2020-03-26 |
1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
1720619356 | Change Agent Network Africa,inc. | Clinic/Center | 4801 Sipple Ave, Baltimore, MD 21206-5605 | 2020-02-02 |
1659910636 | Vitality 360 Inc | Clinic/Center | 2442 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
1730721085 | Serenity Manor Adult Day Services, LLC | Clinic/Center | 1319 Woodbridge Station Way Ste 102, Edgewood, MD 21040-3852 | 2019-10-08 |
1487208112 | Comfort Life Care Adult Medical Day Care | Clinic/Center | 11221 Dolfield Blvd Ste 100-101, Owings Mills, MD 21117-3254 | 2019-07-31 |
1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
1992260079 | Links Residential Care Inc. | Clinic/Center | 6136 Landover Rd, Cheverly, MD 20785-1022 | 2019-02-04 |
1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
Find all providers with the same taxonomy |
City | SILVER SPRING |
Zip Code | 20904 |
Please comment or provide details below to improve the information on BELLA'S RESERVE.
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.