Belinda Rasheed Bonner Adult Familey Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906589 Issued in FL

Legal business name

BELINDA RASHEED BONNER ADULT FAMILEY CARE HOME

Doing business as

Adult Familey Care Home

Practice address

4223 Homer Rd S
Jacksonville, FL 32209-1613

Phone

(904) 236-7051

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Belinda Rasheed Bonner, PROVIDER

Title

Care Giver

Phone

(904) 236-7051

Specialties & licenses 1

Addresses

Other names 1

• Adult Familey Care Home Doing business as

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1043653629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 HOMER RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091613",
            "telephone_number": "904-236-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 HOMER RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091613",
            "telephone_number": "904-236-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELINDA RASHEED BONNER ADULT FAMILEY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "RASHEED",
        "authorized_official_title_or_position": "CARE GIVER",
        "authorized_official_telephone_number": "904-236-7051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Familey Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.