Geraldine Mbonefor

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

5417 Kimbermere CT
Glen Allen, VA 23060-9253

Phone

(804) 308-3890

NPI assigned

Jun 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1093445223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70564",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232550564",
            "telephone_number": "804-308-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 KIMBERMERE CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609253",
            "telephone_number": "804-308-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBONEFOR",
        "first_name": "GERALDINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2600:4040:125f:2300:ac4d:7f03:e47b:9b75",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5417 Kimbermere Ct",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230609253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew R. Brokaw, D.D.S., P.C.
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• Shaunna R Mayers, PT
• Ashley Lynn McAllister, MS, LAT, ATC
• James Martin McCabe, LCSW
• Mary Hapala McCahill, LCSW
• Jennifer L. McCauley, LCSW
• Sherry Bowman McClanahan, LPC

• Developmentally Disabled Services Day Training Agency in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.