BELLA VITA HEALTH AND REHABILITATION CENTER
NPI 1174518013
Skilled Nursing Facility in Glendale, AZ

Active since September 16, 2005CLIA 03D0530761 · Waiver
5125 N 58TH AVE, GLENDALE, AZ 85301(623) 931-5800(623) 931-8776 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Feb 16, 2021 (2 updates tracked since 2021).

About Bella Vita Health And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLA VITA HEALTH AND REHABILITATION CENTER (NPI 1174518013) is a healthcare organization registered as a skilled nursing facility in Glendale, Arizona and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1174518013
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGLENDALE HEALTHCARE ASSOCIATES LLC
Location Address5125 N 58TH AVEGlendale, AZ 85301-7453
Mailing Address5125 N 58th AveGlendale, AZ 85301-7453 · (623) 931-5800 · Fax (623) 931-8776
Fax(623) 931-8776
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1174518013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
5125 N 58TH AVE, Glendale, AZ 85301

Other Names 1

Doing Business AsBella Vita Health And Rehabilitation Center

Other Identifiers 1

Medicaid688070AZ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0530761

Bella Vita Health And Rehabilitation Center · Glendale, AZ
Active · expires Aug 31, 2026
CLIA Number03D0530761
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRandolph Clark, MD
Laboratory Phone(623) 931-5800
Laboratory LocationBella Vita Health And Rehabilitation Center5125 N 58th Avenue, Glendale, AZ 85301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
5125 N 58TH AVE
GLENDALE, AZ 85301
Physical Therapist
5125 N 58TH AVE
GLENDALE, AZ 85301
Assisted Living Facility
5125 N 58TH AVE
GLENDALE, AZ 85301
Speech-Language Pathologist
5125 N 58TH AVE
GLENDALE, AZ 85301
Occupational Therapy Assistant
5125 N 58TH AVE
GLENDALE, AZ 85301
Physical Therapist
5125 N 58TH AVE
GLENDALE, AZ 85301
Physical Therapist
5125 N 58TH AVE
GLENDALE, AZ 85301
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
5125 N 58TH AVE
GLENDALE, AZ 85301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendale Healthcare Associates LLC's NPI number?

The NPI number for Glendale Healthcare Associates LLC is 1174518013. It was assigned to this organization in the NPPES registry on September 16, 2005. The provider is doing business as Bella Vita Health And Rehabilitation Center.

Where is Glendale Healthcare Associates LLC located?

Glendale Healthcare Associates LLC is located at 5125 N 58th Ave, Glendale, AZ 85301. The listed phone number is (623) 931-5800.

What is Glendale Healthcare Associates LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Glendale Healthcare Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0530761) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glendale Healthcare Associates LLC accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Glendale Healthcare Associates LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glendale Healthcare Associates LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.