Healthcare Provider Details

I. General information

NPI: 1326912239
Provider Name (Legal Business Name): BELLS HOPE RESIDENTIAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 LONDON WAY
STAFFORD VA
22554-7723
US

IV. Provider business mailing address

10 LONDON WAY
STAFFORD VA
22554-7723
US

V. Phone/Fax

Practice location:
  • Phone: 540-645-3134
  • Fax:
Mailing address:
  • Phone: 540-645-3134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: APRIL C WILSON
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 702-443-3911