Bonita Homecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BONITA HOMECARE, INC.

Practice address

319 F St
Suite 205
Chula Vista, CA 91910-2666

Phone

(619) 746-6978

Fax

(619) 779-7081

NPI assigned

Apr 8, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gashaw Hailu Gebreselassie, SR ENGINEER

Title

President

Phone

(619) 746-6978

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306200043. Details of each certification follow.

• CCN 059752 Home health agency · Active · Details

Home health agency certification: CCN 059752

Legal name

BONITA HOMECARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 19, 2016

Last certification

Jul 19, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 17, 2016 in CA

Enrollment address

319 F St
Ste 205
Chula Vista, CA 91910-2666

Listed as

Bonita Homecare IncCCN 059752 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Aug 19, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecilio Emanuel Crosby

  • Home Health Agency
  • Chula Vista, CA
  • NPI 1366795825
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Roderick A Comunale II, MD

  • Nephrology Physician
  • National City, CA
  • NPI 1568462109

  Home health agency

  Care Compare affiliation
• Cesar A Lopez, M.D.

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1770700445

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306200043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 F ST",
            "address_2": "SUITE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102666",
            "telephone_number": "619-746-6978",
            "fax_number": "619-779-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 F ST",
            "address_2": "SUITE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102666",
            "telephone_number": "619-746-6978",
            "fax_number": "619-779-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GEBRESELASSIE",
        "authorized_official_first_name": "GASHAW",
        "authorized_official_middle_name": "HAILU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-746-6978",
        "authorized_official_credential": "SR ENGINEER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wayne Bond, LCSW, RPT
• Hermelinda G Bond
• Rayna Bondy, ASW
• Fely Palma Bonifacio, RN, MSN, PHN
• Pedro Bonillas
• Bonnie M. Badii, D.D.S., Dental Professional Corporation
• Richard Bonnoront, PHARM-D
• Mary Christine Bonus
• Iesha Shamae Booker
• Borders Administrators Inc

• Home Health Agency in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.