Healthcare Provider Details

I. General information

NPI: 1730790247
Provider Name (Legal Business Name): BELLAHEALTH STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 CAMINO DEL REMEDIO
SANTA BARBARA CA
93110-1332
US

IV. Provider business mailing address

35107 FUNK WAY
BEAUMONT CA
92223-6278
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-5244
  • Fax:
Mailing address:
  • Phone: 909-246-0371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: VARAINIA CORENE BARKUS
Title or Position: EMPLOYEE
Credential: REGISTERED NURSE
Phone: 909-246-0371