Bonsai Healthcare LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

BONSAI HEALTHCARE LLC

Practice address

4224 S 50TH St
Omaha, NE 68117-1332

Phone

(402) 769-8988

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas MilewskiNPI 1609054667

Title

Manager

Phone

(402) 769-8988

Specialties & licenses 3

Addresses

Other names 1

• Bonsai Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Opioid treatment program

Medicare-enrolled since Dec 11, 2024

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Lawrence Milewski, PHARM. D.

  • Pharmacist
  • Offutt a F B, NE
  • NPI 1609054667
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1902634181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 S 50TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681171332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 S 50TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681171332",
            "telephone_number": "402-769-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSAI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "MILEWSKI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-769-8988"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonsai Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bonsai Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharell Bonner
• Eric Kyes Bonness, M.D.
• Katherine Bonness
• Janetta Jean Bonney
• Shawnee Bonnstetter
• Amber Bonsal
• Jacqueline Bonsu
• Francine Ellen Bontao
• Jan L Bontrager
• Jordan Bontrager, RD LMNT

• Methadone Clinic in Omaha, NE
• Providers in Omaha, NE by specialty
• Methadone Clinic in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.