MEDICARE: BELLA LYNDA HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1013572049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLA LYNDA HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	2513 VINTAGE PLACE CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-6442
Country	:	US
Telephone Number	:	202-534-9621
Fax Number	:

Provider Business Practice Location Address
First Line	:	2513 VINTAGE PLACE CIR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-6442
Country	:	US
Telephone Number	:	202-534-9621
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ZANDRA ROBINSON
Credential	:
Telephone Number	:	202-534-9621

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	05/06/2019

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