Boppas Home 2

Primary specialty

Respite CareTaxonomy code 385H00000X

License

12545 Issued in FL

Legal business name

BOPPAS HOME 2

Practice address

163 Aviation Ave NE
Palm Bay, FL 32907-3022

Phone

(321) 499-4066

NPI assigned

Nov 12, 2015

Organization subpart

No

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

Authorized official

Name

Bethann Meyer, RN

Title

Owner

Phone

(321) 499-4066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1902279995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 AVIATION AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073022",
            "telephone_number": "321-499-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 AVIATION AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073022",
            "telephone_number": "321-499-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOPPAS HOME 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "BETHANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-499-4066",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "12545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Boppa'S Home
• Boppas Home
• Maria C Borrajo
• Janae Boston
• Quasia D Bousquet
• Janetta Bozeman
• Rebecca Andrea Bracken, L.P.N.

• Respite Care in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.