MEDICARE: BELLAVISTA NURSE REGISTRY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1467320929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLAVISTA NURSE REGISTRY INC

Provider Business Mailing Address
First Line	:	450 N PARK RD STE 503
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6918
Country	:	US
Telephone Number	:	786-606-7342
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 N PARK RD STE 503
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6918
Country	:	US
Telephone Number	:	786-606-7342
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	ISABELA M CABANZON
Credential	:
Telephone Number	:	786-606-8342

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	05/14/2026

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