Bonaventure Place Retirement & Assisted Living Community

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY

Practice address

5850 N Five Mile Rd
Boise, ID 83713-5466

Phone

(208) 429-6544

Fax

(208) 429-6739

NPI assigned

Feb 29, 2008

Last updated

Feb 29, 2008By 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

Mr. Kelley D Hamilton

Title

Owner

Phone

(503) 566-5715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1487823886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135466",
            "telephone_number": "208-429-6544",
            "fax_number": "208-429-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135466",
            "telephone_number": "208-429-6544",
            "fax_number": "208-429-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-566-5715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Bolls, DO
• Brett C Bollwinkel, PHARMD
• Crystal Bolter
• Avery Bolton, LMSW
• Isabella Bomben
• Kristen Diana Bond
• Kinsley Bonfilio, PA-C
• Melissa Bonney, LCSW
• Bonnie Kim Waite, M.D. Chartered
• Anne Elisabeth Boodt

• Point of Service in Boise, ID
• Providers in Boise, ID by specialty
• Point of Service in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.