NPIMap

Organization Active NPI

Bonavente Corporation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1801053277
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BONAVENTE CORPORATION
Doing business as
BONAVENTE FREMONT HOME
Practice address
6429 N Ellendale Ave
Fresno, CA 93722-2410
Phone
(559) 271-9803
Fax
(559) 275-8438
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Mrs. Nida A Bonavente
Title
Owner / President
Phone
(559) 313-9052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

6429 N Ellendale Ave
Fresno, CA 93722-2410

Mailing address

6429 N Ellendale Ave
Fresno, CA 93722-2410
Phone (559) 271-9803

Other names 1

  • BONAVENTE FREMONT HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bonavente Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1801053277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 N ELLENDALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222410",
            "telephone_number": "559-271-9803",
            "fax_number": "559-275-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 N ELLENDALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222410",
            "telephone_number": "559-271-9803",
            "fax_number": "559-275-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVENTE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BONAVENTE",
        "authorized_official_first_name": "NIDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "559-313-9052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BONAVENTE FREMONT HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • 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.