Provider Demographics
NPI:1861091373
Name:C'E BELLA HOME CARE LLC
Entity type:Organization
Organization Name:C'E BELLA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-610-5391
Mailing Address - Street 1:78401 HIGHWAY 111 STE G
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2066
Mailing Address - Country:US
Mailing Address - Phone:760-610-5391
Mailing Address - Fax:760-610-5431
Practice Address - Street 1:78401 HIGHWAY 111 STE G
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-2066
Practice Address - Country:US
Practice Address - Phone:760-610-5391
Practice Address - Fax:760-610-5431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care