Destino Bella, Llc.
LBN: Destino Bella, Llc.
Destino Bella, Llc. is an health care organization with primary practice located at 755 S Telshor Blvd Ste S102 , Las Cruces NM 88011-4688. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Destino Bella, Llc. can be contacted via phone (575) 222-4355, or through Munoz, Anai via phone (575) 222-4355.
Contact Information
Primary practice address
755 S Telshor Blvd Ste S102
Las Cruces NM 88011-4688
Phone: (575) 222-4355
Fax: (575) 800-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1417578816 |
|---|---|
| LBN Legal business name | Destino Bella, Llc. |
| DBA Doing business as | |
| Authorized official | Munoz, Anai |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 27th, 2020 |
| Last updated | Aug 5th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417578816 | NPPES |
| New Mexico | MEDICAID | 28909585 | |
| New Mexico | Other | 413154YRND |
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