Active NPI
Bonnie'S Group Hpme
- Child Intellectual and/or Developmental Disabilities Respite Care
- Port Saint Lucie, FL
National Provider Identifier
1023301439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- 15-1461
- Legal business name
- BONNIE'S GROUP HPME
- Practice address
- 651 SW Addie St
Port Saint Lucie, FL 34983-1841 - Phone
- (772) 940-4561
- Fax
- (772) 878-3815
- NPI assigned
- May 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marie Febonie Joseph, NURSING ASSISTANT
- Title
- Owner/ Administrator
- Phone
- (772) 940-4561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 15-1461 | FL | Primary |
Addresses
Primary practice location
651 SW Addie St
Port Saint Lucie, FL 34983-1841
Mailing address
651 SW Addie St
Port Saint Lucie, FL 34983-1841
Phone (772) 940-4561
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305590400000",
"number": "1023301439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 SW ADDIE ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349831841",
"telephone_number": "772-940-4561",
"fax_number": "772-878-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 SW ADDIE ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349831841",
"telephone_number": "772-940-4561",
"fax_number": "772-878-3815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONNIE'S GROUP HPME",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "FEBONIE",
"authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
"authorized_official_telephone_number": "772-940-4561",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NURSING ASSISTANT"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": "15-1461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.