BELLA VIDA AT LAKE FOREST, LLC
NPI 1871212357
Assisted Living Facility in Mount Dora, FL

Q: What is Bella Vida At Lake Forest, LLC's NPI number?

The NPI number for Bella Vida At Lake Forest, LLC is 1871212357. It was assigned to this organization in the NPPES registry on August 26, 2022.

Q: What is Bella Vida At Lake Forest, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 26, 2022

4055 LAKE FOREST ST, MOUNT DORA, FL 32757(352) 269-3779(321) 256-5193 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bella Vida At Lake Forest, Llc NPPES

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

BELLA VIDA AT LAKE FOREST, LLC (NPI 1871212357) is a healthcare organization registered as an assisted living facility in Mount Dora, Florida and active in the NPI registry since August 2022. The organization lists Penny Brownell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871212357

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBELLA VIDA AT LAKE FOREST, LLC

Location Address4055 LAKE FOREST STMount Dora, FL 32757-5211

Mailing Address7901 4th St N Ste 300St Petersburg, FL 33702-4399 · (352) 269-3779 · Fax (321) 256-5193

Phone(352) 269-3779

Fax(321) 256-5193

Organization SubpartNo

Authorized OfficialPenny BrownellAdministrator · (352) 431-5159

Enumeration DateAugust 26, 2022

NPPES CertifiedAugust 26, 2022

✔ NPI 1871212357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

4055 LAKE FOREST ST, Mount Dora, FL 32757

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Other Providers at the Same Location NPPES

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

J & G FLORIDA ENTERPRISES

Assisted Living Facility

4055 LAKE FOREST ST
MOUNT DORA, FL 32757

Orange County (352) 735-4361

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 Bella Vida At Lake Forest, LLC's NPI number?

The NPI number for Bella Vida At Lake Forest, LLC is 1871212357. It was assigned to this organization in the NPPES registry on August 26, 2022.

Where is Bella Vida At Lake Forest, LLC located?

Bella Vida At Lake Forest, LLC is located at 4055 Lake Forest St, Mount Dora, FL 32757. The listed phone number is (352) 269-3779.

What is Bella Vida At Lake Forest, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Bella Vida At Lake Forest, LLC was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.