Bonnie'S Guest House Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

198601069 Issued in CA

Legal business name

BONNIE'S GUEST HOUSE INC.

Doing business as

Bonnies Guest House

Practice address

135 N Bonnie Ave
Pasadena, CA 91106-2103

Phone

(213) 400-1502

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Desiree AlvaradoNPI 1952842502

Title

Certified Administrator

Phone

(213) 400-1502

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bonnies Guest House Doing business as

Practitioners 1

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

• Desiree Alvarado

  • Case Manager/Care Coordinator
  • Pasadena, CA
  • NPI 1952842502
  NPD (past) Authorized official

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1336671874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N BONNIE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062103",
            "telephone_number": "213-400-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N BONNIE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062103",
            "telephone_number": "213-400-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE'S GUEST HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "CERTIFIED ADMINISTRATOR",
        "authorized_official_telephone_number": "213-400-1502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "198601069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING DIVISION",
            "identifier": "198601069",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonnies Guest House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Vanessa Bonilla
• Christian Bonilla
• Cristina Bonilla
• Rebeca Bonilla
• Marisol Bonner
• Kate Pomerantz Bono, MSW
• Jeremy Louis Bonwell
• Devin Boone
• Gwendolyn Meredith Booth, RN
• Scott Patrick Booth, RADTI

• Assisted Living Facility (Mental Illness) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.