Bonstar Services LLC

Organization Active NPI Developmental Disabilities Clinic/Center · Washington, DC

NPI 1083393409 · NPPES record last updated Jul 13, 2023

Key facts

NPI
1083393409
Entity type
Organization (NPI type 2)
Primary specialty
Developmental Disabilities Clinic/Center 261QD1600X
Legal business name
BONSTAR SERVICES LLC
Practice address
1629 K St NW Ste 300
Washington, DC 20006-1631
Phone
(240) 705-0592
NPI assigned
Jul 13, 2023
Organization subpart
No

Authorized official

Name
Bonaventure Asongache NPI 1053741181
Title
Ceo
Phone
(240) 705-0592

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Yes

Addresses

Primary practice location

1629 K St NW Ste 300
Washington, DC 20006-1631

Mailing address

1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (240) 705-0592

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2023.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1083393409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "240-705-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "240-705-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSTAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "ASONGACHE",
        "authorized_official_first_name": "BONAVENTURE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-705-0592"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

All providers in Washington, DC · Developmental Disabilities Clinic/Center in District of Columbia

Sources for this page

Verify at the official NPI Registry.