Organization Active NPI

Bonnie'S Group Hpme

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Port Saint Lucie, FL
National Provider Identifier
1023301439
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
15-1461 Issued in FL
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

Updated by the provider on May 17, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.