BENTLEY SQUARE
NPI 1972053296
Custodial Care Facility - Adult Care Home in Tucker, GA

Active since October 11, 2016
3884 LAVISTA RD, TUCKER, GA 30084(770) 938-7260 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bentley Square NPPES

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

BENTLEY SQUARE (NPI 1972053296) is a healthcare organization registered as an adult care home in Tucker, Georgia and active in the NPI registry since October 2016. The organization lists Kelle C Santoro, Sr Director Ar, as its authorized official.

NPPES Registry Identity

NPI1972053296
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLAVISTA OPERATING COMPANY LLC
Location Address3884 LAVISTA RDTucker, GA 30084-5199
Mailing Address5300 W Sam Houston Pkwy N, Suite 100Houston, TX 77041-5161 · (832) 467-6000
Organization SubpartNo
Authorized OfficialKelle C SantoroSr Director Ar · (832) 467-5728
Enumeration DateOctober 11, 2016
NPI 1972053296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
3884 LAVISTA RD, Tucker, GA 30084

Other Names 1

Doing Business AsBentley Square

Other Providers at the Same Location NPPES

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

In Home Supportive Care
3884 LAVISTA RD
TUCKER, GA 30084

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 Lavista Operating Company LLC's NPI number?

The NPI number for Lavista Operating Company LLC is 1972053296. It was assigned to this organization in the NPPES registry on October 11, 2016. The provider is doing business as Bentley Square.

Where is Lavista Operating Company LLC located?

Lavista Operating Company LLC is located at 3884 Lavista Rd, Tucker, GA 30084. The listed phone number is (770) 938-7260.

What is Lavista Operating Company LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Lavista Operating Company LLC was last updated on October 11, 2016. 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.