Bonafide Healthcare Services LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

BONAFIDE HEALTHCARE SERVICES LLC

Practice address

8579 Grand Prix LN
Boynton Beach, FL 33472-2736

Phone

(754) 245-9993

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Marie B Samson-Joseph, APRNNPI 1942350848

Title

President

Phone

(754) 245-9993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Marie Bernadette Samson-Joseph, APRN

  • Gerontology Nurse Practitioner
  • Coconut Creek, FL
  • NPI 1942350848
  Medicare reassignment Authorized official
• Nerlande Anneus

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
  • NPI 1689400236
  Medicare reassignment NPD

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1205460474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8579 GRAND PRIX LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722736",
            "telephone_number": "754-245-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8579 GRAND PRIX LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722736",
            "telephone_number": "754-245-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAFIDE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "SAMSON-JOSEPH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-245-9993",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Paul Bolduc, PT
• Victoria Bolduc, PT
• Michael Bolenbaugh, PHARMD
• Valeria Bolivar
• David Boltson, PSY.D.
• Michele Bonazzoli-Clinton, ARNP
• Ciana Bonfiglio, MS, RDN, LDN, CHES
• Stephany Bonhometre, LCSW
• Kirk Henderson Bonner, MD
• Daniel Bonthius, MD-PHD

• Primary Care Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.