Bohemian Home for the Aged

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BOHEMIAN HOME FOR THE AGED

Doing business as

Tabor Hills Supportive Community LLC

Practice address

1347 Crystal Ave
Naperville, IL 60563-0149

Phone

(630) 778-6677

Fax

(630) 778-6680

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Frances Salinas

Title

Chief Financial Officer

Phone

(630) 778-6677

Specialties & licenses 1

Addresses

Other names 1

• Tabor Hills Supportive Community LLC Doing business as

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1083819726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 MCDOWELL ROAD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-778-6677",
            "fax_number": "630-778-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 CRYSTAL AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605630149",
            "telephone_number": "630-778-6677",
            "fax_number": "630-778-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHEMIAN HOME FOR THE AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "630-778-6677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tabor Hills Supportive Community LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Venkateswara Rao Boggavarapu, OTR/L
• Gina Bogin, PHD, LCSW
• Cindy Bohac
• Patricia Boheme
• Sasha Boheme
• William Joseph Bojak, D.C.
• Laura Lynn Bokar, ED.D., LCPC, LMFT
• Angela Nayeli Bolanos
• Erica Bolanowski
• Christine Laverne Bolden, APRN, CNP

• Assisted Living Facility in Naperville, IL
• Providers in Naperville, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.