MEDICARE: BELLACARE HOME SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HHA201702	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073033585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLACARE HOME SERVICES LLC

Provider Business Mailing Address
First Line	:	1408 FORT CROOK RD S FL 3
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-3061
Country	:	US
Telephone Number	:	402-347-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	1408 FORT CROOK RD S FL 3
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-3061
Country	:	US
Telephone Number	:	402-347-0007
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ELIZABETH LEE MYERS
Credential	:	PT
Telephone Number	:	907-987-4584

Provider Enumeration Date	:	06/26/2017
Last Update Date	:	12/03/2025

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