MEDICARE: BELL HOUSE 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	311ZA0620X	Adult Care Home Facility	HAL-041-001	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427166925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELL HOUSE INC

Provider Business Mailing Address
First Line	:	2400 SUMMIT AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405
Country	:	US
Telephone Number	:	336-621-0938
Fax Number	:	336-621-0947

Provider Business Practice Location Address
First Line	:	2400 SUMMIT AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-5014
Country	:	US
Telephone Number	:	336-621-0938
Fax Number	:	336-621-0947

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. JENIFER NANETTE KIRK
Credential	:	MA
Telephone Number	:	336-621-0938

Provider Enumeration Date	:	08/26/2006
Last Update Date	:	02/21/2008

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Directions to “BELL HOUSE INC ” Practice Location

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