Organization · Type 2 NPI

Bella Vita Congregate Living, LLC

Nursing Facility/Intermediate Care Facility · Riverside, CA

NPI number 1972024420 Active

Practice location

16092 Constable Rd
Riverside, CA 92504-5664

Fax (951) 429-7162

Mailing address

17130 Van Buren Blvd # 134
Riverside, CA 92504-5905

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X550003868 (CA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1972024420

Bella Vita Congregate Living, LLC's National Provider Identifier is 1972024420, issued on Jul 5, 2017. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Riverside, CA. The record was last updated on Jul 5, 2017.