Organization Active NPI

Chez Bon Home, Inc.

  • Adult Care Home Facility
  • Long Beach, CA
National Provider Identifier
1033640008
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
197800441 Issued in CA
Legal business name
CHEZ BON HOME, INC.
Practice address
1206 Walnut Ave
Long Beach, CA 90813-3823
Phone
(562) 591-1411
Fax
(562) 591-0455
NPI assigned
Mar 22, 2017
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Ms. Marcia Rubin
Title
Officer of the Corporation
Phone
(213) 453-9882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 197800441 CA Primary

Addresses

Primary practice location

1206 Walnut Ave
Long Beach, CA 90813-3823

Mailing address

1206 Walnut Ave
Long Beach, CA 90813-3823
Phone (562) 591-1411

Other names 1

  • Chez Bon Guest Home Former legal business name

National Provider Directory

National Provider Directory

Locations

1206 Walnut Ave
Long Beach, CA 90813
Phone (562) 591-1411

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1033640008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 WALNUT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133823",
            "telephone_number": "562-591-1411",
            "fax_number": "562-591-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 WALNUT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133823",
            "telephone_number": "562-591-1411",
            "fax_number": "562-591-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEZ BON HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OFFICER OF THE CORPORATION",
        "authorized_official_telephone_number": "213-453-9882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "197800441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chez Bon Guest Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.