Bonners Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BONNERS HOME CARE

Practice address

65800 Highway 2
Bonners Ferry, ID 83805-5231

Phone

(208) 304-6854

NPI assigned

Apr 4, 2012

Organization subpart

No

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

Authorized official

Name

Ginger Lee Perrenoud

Title

Owner

Phone

(208) 304-6854

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1124384185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65800 HIGHWAY 2",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055231",
            "telephone_number": "208-304-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65800 HIGHWAY 2",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055231",
            "telephone_number": "208-304-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNERS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "PERRENOUD",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-304-6854"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Heber Beazer, D.M.D
• Gina M. Beck, L.C.S.W.
• Jackson Joseph Bell, DO
• Clifford Boyd Bellmore, RPH
• Bonners Ferry Family Medicine, PLLC
• Gregory T Botkin, MD
• Boundary Community Hospital
• Boundary Community Hospital
• Boundary Community Hospital
• Boundary Community Hospital

• All providers in Bonners Ferry, ID
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.