Bona Vita Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BONA VITA HOME CARE AGENCY LLC

Practice address

17613 Roscoe Blvd
Northridge, CA 91325-3907

Phone

(323) 672-4848

Fax

(818) 351-5854

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Hasmik Jasmine Atshemyan

Title

Owner/President/Administrator

Phone

(323) 672-4848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1922676378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17613 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17613 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913253907",
            "telephone_number": "323-672-4848",
            "fax_number": "818-351-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONA VITA HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "ATSHEMYAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_middle_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "323-672-4848"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BNM Home Health Agency
• Renee Elena Boaz, NP-C
• Samia A Boctor, M.D.
• Alexandria Michelle Bojorquez, NURSE PRACTITIONER
• Monica Bolds Simmons
• Gholamreza Nagadeh Bonabi, M.D.,
• Kirsten Bonaventura-Zauss
• Cristina Bonilla
• Felicia Boothe
• Julie Bordelon

• In Home Supportive Care Agency in Northridge, CA
• Providers in Northridge, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.