Polyakova Incorporated

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

POLYAKOVA INCORPORATED

Doing business as

Bonita Home Care

Practice address

7189 Liverpool LN
Roseville, CA 95747-5927

Phone

(916) 628-0066

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 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

Alena Polyakova

Title

Ceo

Phone

(916) 628-0066

Specialties & licenses 1

Addresses

Other names 1

• Bonita Home Care Doing business as

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1871215087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7189 LIVERPOOL LN",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475927",
            "telephone_number": "916-628-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7189 LIVERPOOL LN",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475927",
            "telephone_number": "916-628-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1732 Woodhaven Cir",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957474615",
            "country_code": "US",
            "telephone_number": "916-844-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7136 Ludlow Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957475932",
            "country_code": "US",
            "telephone_number": "916-628-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POLYAKOVA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "POLYAKOVA",
        "authorized_official_first_name": "ALENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-628-0066"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabina Pokorney, NP
• Thomas Michael Polidore, MD
• Erik Polik, DO
• Anna Polishchuk, FNP
• Carley Pollack
• Morghan Pomeroy
• David J. Pompa, MD
• Ariel Xzandra Pond
• Pondera Rehabilitation & Fitness, PC
• Kristan Lee Pontillo, R.D.

• Assisted Living Facility in Roseville, CA
• Providers in Roseville, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.