Healthcare Provider Details

I. General information

NPI: 1932014966
Provider Name (Legal Business Name): BELLVIEW ALF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10155 SE 110TH STREET RD
BELLEVIEW FL
34420-3694
US

IV. Provider business mailing address

2990 FOXTAIL BND
OCOEE FL
34761-8473
US

V. Phone/Fax

Practice location:
  • Phone: 352-687-8001
  • Fax: 352-687-3860
Mailing address:
  • Phone: 407-717-0343
  • Fax: 352-687-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. NICOLE GEDEON
Title or Position: ADMINISTRATOR
Credential:
Phone: 407-717-0343