Healthcare Provider Details

I. General information

NPI: 1023402542
Provider Name (Legal Business Name): BELL HOUSE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 03/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16719 COASTAL HWY
LEWES DE
19958-3653
US

IV. Provider business mailing address

16719 COASTAL HWY
LEWES DE
19958-3653
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-4404
  • Fax: 302-644-2830
Mailing address:
  • Phone: 302-644-4404
  • Fax: 302-644-2830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number2015602013
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2015602014
License Number StateDE

VIII. Authorized Official

Name: STEVEN M BELL
Title or Position: OWNER
Credential:
Phone: 302-644-4404