Organization Active NPI

Bonners Meadow Home Health Agency LLC

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1891113601
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BONNERS MEADOW HOME HEALTH AGENCY LLC
Practice address
3541 Evans Ave Apt E210
Fort Myers, FL 33901-8363
Phone
(239) 785-7322
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Mr. Dameon Bonner
Title
Owner
Phone
(239) 785-7322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

3541 Evans Ave Apt E210
Fort Myers, FL 33901-8363

Mailing address

3541 Evans Ave Apt E210
Fort Myers, FL 33901-8363
Phone (239) 785-7322

Other names 1

  • Bonners Meadows Home Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1891113601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 EVANS AVE APT E210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018363",
            "telephone_number": "239-785-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 EVANS AVE APT E210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018363",
            "telephone_number": "239-785-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNERS MEADOW HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "DAMEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-785-7322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonners Meadows Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.