Boulevard Van City LLC

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Legal business name

BOULEVARD VAN CITY LLC

Practice address

2708 Niagara Falls Blvd
Niagara Falls, NY 14304-4517

Phone

(716) 731-4335

Fax

(716) 731-4331

NPI assigned

Feb 3, 2017

Organization subpart

Yes

Parent organization

BOULEVARD VAN CITY LLCAs reported in NPPES

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

Authorized official

Name

Mr. Frank J Southerland

Title

Owner

Phone

(716) 731-4335

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Boulevard Van City & Home Mobility Doing business as

Part of

Boulevard Van City LLC

Locations

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1841738341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044517",
            "telephone_number": "716-731-4335",
            "fax_number": "716-731-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044517",
            "telephone_number": "716-731-4335",
            "fax_number": "716-731-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD VAN CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULEVARD VAN CITY LLC",
        "enumeration_date": "2017-02-03",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-731-4335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04082239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Van City & Home Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David R Bonnevie, DDS
• Tiffany Anne Boshane, P.T.A
• Renee Marie Bosi, BSW
• Shannah Bosley
• Candice J Botticello, RN
• Joanna Lynn Bower
• Shawntria N Bradley, RN
• Clara M. Brady, RPA
• Hillary M Brazell
• Joseph Brennan III, PHARM.D.

• Contractor in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.