Healthcare Provider Details

I. General information

NPI: 1215525076
Provider Name (Legal Business Name): BELLA HOME CARE OF GEORGIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 AUGUSTA WEST PKWY
AUGUSTA GA
30909-1807
US

IV. Provider business mailing address

1345 GARNER LN STE 301A
COLUMBIA SC
29210-8363
US

V. Phone/Fax

Practice location:
  • Phone: 470-397-1442
  • Fax:
Mailing address:
  • Phone: 803-618-3167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JENYFER FOUST
Title or Position: AGENCY DIRECTOR
Credential:
Phone: 470-397-1442