NPIMap

Organization Active NPI

Boppas Home

  • Respite Care
  • Palm Bay, FL
National Provider Identifier
1053778480
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
12106 Issued in FL
Legal business name
BOPPAS HOME
Practice address
440 Catalina Ave NW
Palm Bay, FL 32907-1835
Phone
(321) 327-5350
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Bethann Meyer, RN
Title
Owner
Phone
(321) 327-5350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 12106 FL Primary

Addresses

Primary practice location

440 Catalina Ave NW
Palm Bay, FL 32907-1835

Mailing address

440 Catalina Ave NW
Palm Bay, FL 32907-1835
Phone (321) 327-5350

National Provider Directory

National Provider Directory
Tax ID family
Boppa's Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1053778480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CATALINA AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071835",
            "telephone_number": "321-327-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CATALINA AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071835",
            "telephone_number": "321-327-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOPPAS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "BETHANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-327-5350",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "12106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.