OrganizationActive
Bella Vida at Lake Forest, LLC
NPI 1871212357 · Assisted Living Facility · Mount Dora, FL
Provider details
- NPI number
- 1871212357
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Penny Brownell, Administrator(352) 431-5159
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4055 Lake Forest St
Mount Dora, FL 32757-5211
Phone: (352) 269-3779
Fax: (321) 256-5193
Street-level locationGet directions
Mailing address
7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Registry dates
- Enumerated
- 2022-08-26
- Last updated
- 2022-08-26
- Certified
- 2022-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.