Organization
LA VITA BELLA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAHNELLE TAYLOR (ADMINISTRATOR/OWNER)
(505) 239-9146
Entity
Organization
Contact information
Practice address
1101 GOLF COURSE RD SE STE 101, RIO RANCHO, NM 87124-4732
(505) 814-5386
(505) 346-1570
Mailing address
1101 GOLF COURSE RD SE STE 101, RIO RANCHO, NM 87124-4732
(505) 814-5386
(505) 346-1570
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3599
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3599
HOME HEALTH AGENCY LICENSE TO MAINTAIN AND OPERATE
NM
Enumeration date
02/22/2018
Last updated
03/25/2025
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