Bella'S Reserve

LBN: Bella'S Reserve
Bella'S Reserve is an health care organization with primary practice located at 2120 Industrial Pkwy , Silver Spring MD 20904-1998. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Bella'S Reserve can be contacted via phone (301) 622-0400, or through Kim, John via phone (301) 622-0400.

Contact Information

Primary practice address
2120 Industrial Pkwy Silver Spring MD 20904-1998
Phone: (301) 622-0400
Fax: (301) 622-4383
Website:
Map and Directions
Authorized official contact:
Name: Kim, John Doctor of Medicine (MD)
Phone: (301) 622-0400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1942577960
LBN Legal business name Bella'S Reserve
DBA Doing business as
Authorized official Kim, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2011
Last updated Nov 18th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942577960 NPPES
Maryland MEDICAID 420736000

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