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BELLA VITA CONGREGATE LIVING, LLC
NPI 1972024420
Nursing Facility/Intermediate Care Facility in Riverside, CA

Active since July 05, 2017CLIA 05D2134777 · Waiver
16092 CONSTABLE RD, RIVERSIDE, CA 92504(951) 800-8435(951) 429-7162 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bella Vita Congregate Living, Llc NPPES

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

BELLA VITA CONGREGATE LIVING, LLC (NPI 1972024420) is a healthcare organization registered as a nursing facility/intermediate care facility in Riverside, California and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Sonya Lisette Harrell, Nurse Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1972024420
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBELLA VITA CONGREGATE LIVING, LLC
Location Address16092 CONSTABLE RDRiverside, CA 92504-5664
Mailing Address17130 Van Buren Blvd # 134Riverside, CA 92504-5905 · (951) 800-8435 · Fax (951) 429-7162
Phone(951) 800-8435
Fax(951) 429-7162
Organization SubpartNo
Authorized OfficialSonya Lisette HarrellNurse Administrator/owner · (951) 640-8170
Enumeration DateJuly 5, 2017
✔ NPI 1972024420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in CA · 550003868
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
16092 CONSTABLE RD, Riverside, CA 92504
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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 05D2134777

Bella Vita Congregate Living LLC · Riverside, CA
Active · expires Aug 8, 2027
CLIA Number05D2134777
Laboratory TypeCongregate Living Health
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorFarbod Farmand
Laboratory Phone(951) 800-8435
Laboratory LocationBella Vita Congregate Living LLC16092 Constable Rd, Riverside, CA 92504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vita Congregate Living, LLC's NPI number?

The NPI number for Bella Vita Congregate Living, LLC is 1972024420. It was assigned to this organization in the NPPES registry on July 5, 2017.

Where is Bella Vita Congregate Living, LLC located?

Bella Vita Congregate Living, LLC is located at 16092 Constable Rd, Riverside, CA 92504. The listed phone number is (951) 800-8435.

What is Bella Vita Congregate Living, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Bella Vita Congregate Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2134777) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bella Vita Congregate Living, LLC was last updated on July 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.