BELLA VIDA AT LAKE FOREST LLC NPI 1871212357

NPI Information

  • NPI: 1871212357
  • Provider Name: BELLA VIDA AT LAKE FOREST, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 4055 LAKE FOREST ST
    MOUNT DORA, FL
    ZIP 32757
  • Phone: (352) 269-3779

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NPI Details

BELLA VIDA AT LAKE FOREST, LLC is an assisted living facility in Mount Dora, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BELLA VIDA AT LAKE FOREST, LLC NPI is 1871212357. The provider is registered as an organization entity type.

The provider's business location address is:

4055 LAKE FOREST ST
MOUNT DORA, FL
ZIP 32757-211
Phone: (352) 269-3779
Fax: (321) 256-5193

The provider's authorized official is Penny Brownell .
The authorized official title is Administrator and has the following contact phone number (352) 431-5159.

The enumeration date for this NPI number is 8/26/2022 and was last updated on 8/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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