MEDICARE: BELLA COMPANION CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114633849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLA COMPANION CARE LLC

Provider Business Mailing Address
First Line	:	1506 BLUE SEA ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-2394
Country	:	US
Telephone Number	:	727-776-0787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1506 BLUE SEA ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-2394
Country	:	US
Telephone Number	:	727-776-0787
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HANNAH MBINZE
Credential	:
Telephone Number	:	727-776-0787

Provider Enumeration Date	:	01/26/2023
Last Update Date	:	01/26/2023

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