Bonaventure of Puyallup

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BONAVENTURE OF PUYALLUP

Practice address

14503 Meridian E
Puyallup, WA 98375-5003

Phone

(253) 387-8166

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Denise J Link

Title

Ar Specialist

Phone

(503) 373-3131

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1801582671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 BOONE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973179336",
            "telephone_number": "503-373-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14503 MERIDIAN E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983755003",
            "telephone_number": "253-387-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVENTURE OF PUYALLUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "503-373-3131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Bolanoz-Lopez
• Dametra Lynthia Bolar
• Marilyn Bollinger
• Bailey N. Boltz, PA-C
• Kelly Bonavena, L.AC, MSOM
• Holly Anne Bonnardel, LMFTA
• Nicole Malene Bosch
• Sylvia E Boskovich III
• Jodie Bosma
• Banji Hazelle Bottcher, CPC

• Assisted Living Facility in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.