# BELLARAE HOME CARE AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245774074
- **Authorized official:** JUAN GUARA (AGENCY MANAGER)
- **Authorized official phone:** (970) 361-3399

## Contact information

- **Practice address:** 784 CRYSTAL WAY, FRUITA, CO 81521-3317
- **Practice address phone:** (970) 361-3399
- **Practice address fax:** (877) 679-2777
- **Mailing address:** 784 CRYSTAL WAY, FRUITA, CO 81521-3317
- **Mailing address phone:** (970) 361-3399
- **Mailing address fax:** (877) 679-2777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 04Z835 | CO | — |
| 253Z00000X | In Home Supportive Care Agency | 04V336 | CO | Yes |

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 12/13/2016