Adk Bonterra Parkview, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10777 Issued in GA

Legal business name

ADK BONTERRA PARKVIEW, LLC

Doing business as

Bonterra Nursing Center

Practice address

2801 Felton Dr
East Point, GA 30344-3605

Phone

(404) 767-7591

Fax

(404) 765-0547

NPI assigned

Oct 18, 2006

Last updated

Mar 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol J Groeber

Title

Vice President Mis

Phone

(937) 964-8974

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bonterra Nursing Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1053492801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 FELTON DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443605",
            "telephone_number": "404-767-7591",
            "fax_number": "404-765-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FELTON DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443605",
            "telephone_number": "404-767-7591",
            "fax_number": "404-765-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADK BONTERRA PARKVIEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "GROEBER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT MIS",
        "authorized_official_telephone_number": "937-964-8974"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000140357A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonterra Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1St Priority Family Services
• 2801 Felton Avenue, L.P. (Bonterra Transitional Care and Rehabilitation)
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• Lucinda Oluwayemisi Afolabi, FNP-BC
• Kingsley E Agbeyegbe, MD
• Bob Agbogu, MD
• Fawaz F Akbik, M.D.

• Skilled Nursing Facility in East Point, GA
• Providers in East Point, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.