Bonell Elderly Care

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN187342 Issued in GA

Legal business name

BONELL ELDERLY CARE

Practice address

205 David Larsen Dr
Stockbridge, GA 30281

Phone

(678) 565-0574

Fax

(678) 565-0574

NPI assigned

Jan 23, 2008

Last updated

Jun 20, 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

Mrs. Bonita Agnes Charles, RN

Title

Director

Phone

(678) 565-0574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1538346408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DAVID LARSEN DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "678-565-0574",
            "fax_number": "678-565-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 DAVID LARSEN DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "678-565-0574",
            "fax_number": "678-565-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONELL ELDERLY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-565-0574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN187342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Registered Nurse in Georgia

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