Bonita Springs Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BONITA SPRINGS HOME CARE LLC

Practice address

1494 Tarpan LN
Allentown, PA 18104-8802

Phone

(732) 921-2611

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By 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

Yasmin Mumtaz

Title

President

Phone

(732) 921-2611

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1063171072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 TARPAN LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048802",
            "telephone_number": "732-921-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 TARPAN LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048802",
            "telephone_number": "732-921-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA SPRINGS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "MUMTAZ",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-921-2611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bond, MD
• Tetyana Bondar
• Melissa Bondurich, RD, LDN
• Andrea Julia Bone, PA-C
• Angelica Marie Bonisese
• Pamella Mellisa Bonner-Graveley
• Edward Bonner, LPC
• Kimberly Lynn Bonner, LCSW
• Ashley Ahema Bonney, MD
• Bonnie E. B. Osterwald, MD,PC

• In Home Supportive Care Agency in Allentown, PA
• Providers in Allentown, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.