Borabora Integrated Health System

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

BORABORA INTEGRATED HEALTH SYSTEM

Practice address

9299 W Olive Ave Ste 404
Peoria, AZ 85345-8383

Phone

(410) 660-5117

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By 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

Dr. Kerubo Happiness Kinaro, PHD, BA, BSN, RN

Title

Ceo

Phone

(410) 660-5117

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerubo Happiness Nyachieo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1891657516
  NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1568103182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 W SALTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082078",
            "telephone_number": "410-660-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 W OLIVE AVE STE 404",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458383",
            "telephone_number": "410-660-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORABORA INTEGRATED HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "KINARO",
        "authorized_official_first_name": "KERUBO",
        "authorized_official_middle_name": "HAPPINESS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-660-5117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BA, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Irene Bonner West, P.A.
• Colleen Bonner, FNP-C
• Ruth Bonno, M.A., CCC-SLP
• Jonathan Booker, PHARM.D.
• Scott Boone, MSN, RN
• Kathleen Kay Borawski, OTR
• Natasha Borchard, BSN, RN
• Lauren Borga
• Fariborz Boroumand
• Nadine Borwege, LDO

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.