Bona Vita Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BONA VITA CARE LLC

Practice address

13444 Prairie Ave Apt 10
Hawthorne, CA 90250-6088

Phone

(310) 874-2225

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Joseph Ricardo Garcia Vargas

Title

Chief Executive Officer

Phone

(310) 874-2225

Specialties & licenses 1

Addresses

Other names 1

• Bona Vita Care Former legal business name

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1316640402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13444 PRAIRIE AVE APT 10",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506088",
            "telephone_number": "310-874-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13444 PRAIRIE AVE APT 10",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506088",
            "telephone_number": "310-874-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONA VITA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA VARGAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-874-2225"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bona Vita Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Angela Leniece Body, MSW
• Steven Bolden
• Lauren Brassel, MSN, FNP-BC
• Nydia Ochoa Bravo, PPS
• Katherine Mie Brechtelsbauer, PA-C
• Julia Catherine Brewer, NP
• Brian S. Lee, DDS, Inc.

• In Home Supportive Care Agency in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.