John H. Boner Community Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

JOHN H. BONER COMMUNITY CENTER

Practice address

2236 E 10TH St
Indianapolis, IN 46201-2006

Phone

(317) 633-8210

Fax

(317) 633-3006

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Taylor

Title

Executive Director

Phone

(317) 633-8210

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elder Alternative Adult Day Services Doing business as

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1740311653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012006",
            "telephone_number": "317-633-8210",
            "fax_number": "317-633-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012006",
            "telephone_number": "317-633-8210",
            "fax_number": "317-633-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. BONER COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-633-8210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elder Alternative Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Marie Johann, LCSW
• Melanie K Johannessohn
• Michael W. Johansen, D.O.
• Stephen Johantgen, MD
• John H Payne Assoc Inc
• John L George, MD
• John M. Porter DDS
• John T Young, MD
• Chandy C John, MD
• Ethan John

• Adult Day Care Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Day Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.