Organization Active NPI

Mntblo Home Health Inc

  • Home Health Agency
  • Montebello, CA
National Provider Identifier
1225910615
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MNTBLO HOME HEALTH INC
Practice address
104 W Beverly Blvd Ste a-1
Montebello, CA 90640-4305
Phone
(419) 777-1777
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Mrs. Anna Bondarenko
Title
Ceo
Phone
(419) 777-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

104 W Beverly Blvd Ste a-1
Montebello, CA 90640-4305

Mailing address

104 W Beverly Blvd Ste a-1
Montebello, CA 90640-4305
Phone (419) 777-1777

National Provider Directory

National Provider Directory

Locations

104 W Beverly Blvd
Ste A1
Montebello, CA 90640
Phone (419) 777-1777

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1225910615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W BEVERLY BLVD STE A-1",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404305",
            "telephone_number": "419-777-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W BEVERLY BLVD STE A-1",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404305",
            "telephone_number": "419-777-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNTBLO HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "BONDARENKO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-777-1777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.