Basic Information
| Provider Information | |||||||||
| NPI: | 1730790247 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BELLAHEALTH STAFFING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35107 FUNK WAY | ||||||||
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| City: | BEAUMONT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922236278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9092460371 | ||||||||
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| Practice Location | |||||||||
| Address1: | 315 CAMINO DEL REMEDIO | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056815244 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2020 | ||||||||
| LastUpdateDate: | 08/05/2022 | ||||||||
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| AuthorizedOfficialLastName: | BARKUS | ||||||||
| AuthorizedOfficialFirstName: | VARAINIA | ||||||||
| AuthorizedOfficialMiddleName: | CORENE | ||||||||
| AuthorizedOfficialTitleorPosition: | EMPLOYEE | ||||||||
| AuthorizedOfficialTelephone: | 9092460371 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | REGISTERED NURSE | ||||||||
| NPICertificationDate: | 08/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | N | Laboratories | Clinical Medical Laboratory | 283Q00000X | Y | Hospitals | Psychiatric Hospital |
No ID Information.