Healthcare Provider Details

I. General information

NPI: 1134585318
Provider Name (Legal Business Name): BELLA VITA CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 01/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10030 HAYVENHURST AVE
NORTH HILLS CA
91343-1104
US

IV. Provider business mailing address

10030 HAYVENHURST AVE
NORTH HILLS CA
91343-1104
US

V. Phone/Fax

Practice location:
  • Phone: 747-202-6776
  • Fax: 818-350-4460
Mailing address:
  • Phone: 747-202-6776
  • Fax: 818-350-4460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SUSANNA ARAKELYAN
Title or Position: CEO/PRESIDENT
Credential:
Phone: 747-202-6776