NPIMap

Organization Active NPI

Bona Vista Programs, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Kokomo, IN
National Provider Identifier
1033418066
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BONA VISTA PROGRAMS, INC.
Practice address
3770 W 80 N
Kokomo, IN 46901-3854
Phone
(765) 457-8273
NPI assigned
Mar 16, 2011
Last updated
Mar 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill S Dunn
Title
President
Phone
(765) 457-8273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X IN Primary

Addresses

Primary practice location

3770 W 80 N
Kokomo, IN 46901-3854

Mailing address

1220 Laguna St
Kokomo, IN 46902-2330
Phone (765) 457-8273

National Provider Directory

National Provider Directory
Tax ID family
Bona Vista Programs Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1033418066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LAGUNA ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022330",
            "telephone_number": "765-457-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 W 80 N",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469013854",
            "telephone_number": "765-457-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONA VISTA PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-457-8273"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.