Organization Active NPI

Bongrace Ventures, Inc

  • Home Health Agency
  • Brandon, FL
National Provider Identifier
1396604823
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BONGRACE VENTURES, INC
Practice address
1218 Millennium Pkwy Ste 2-10
Brandon, FL 33511-3895
Phone
(813) 772-4509
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Mr. Jason Mirabella, MIRABELLA
Title
Owner, Managing Director
Phone
(813) 772-4509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1218 Millennium Pkwy Ste 2-10
Brandon, FL 33511-3895

Mailing address

1218 Millennium Pkwy Ste 2-10
Brandon, FL 33511-3895
Phone (813) 772-4509

National Provider Directory

National Provider Directory

Locations

1218 Millennium Pkwy
Ste 210
Brandon, FL 33511
Phone (813) 772-4509

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1396604823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 MILLENNIUM PKWY STE 2-10",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113895",
            "telephone_number": "813-772-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 MILLENNIUM PKWY STE 2-10",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113895",
            "telephone_number": "813-772-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONGRACE VENTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "MIRABELLA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER, MANAGING DIRECTOR",
        "authorized_official_telephone_number": "813-772-4509",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MIRABELLA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.