Eugene S Bonds Jr.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

007350 Issued in TX

Practice address

5322 22ND St
Lubbock, TX 79407-2117

Phone

(806) 543-0488

Fax

(866) 419-7167

NPI assigned

Jun 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mae Services LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Lubbock, TX
  • NPI 1316350507

  Intermediate Care Facility, Intellectual Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1932512043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16285",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906285",
            "telephone_number": "806-543-0488",
            "fax_number": "866-419-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072117",
            "telephone_number": "806-543-0488",
            "fax_number": "866-419-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS",
        "first_name": "EUGENE",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "007350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007350",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jilleighan Marie Boivin, RN
• Bolkar E Sahinler, M.D., PA
• James Coy Bolton Jr., MD
• McKenzie Bonam, OTD, OTR
• Kacie Bond, PT
• Minerva Bonin, LPC
• Allison Bonner
• Justin Drew Bonner, D.D.S.
• Holli Booe
• Booker Hospital District

• Intellectual Disabilities Intermediate Care Facility in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.