Jordan Bonner

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

3100 E 45TH St Ste 116
Cleveland, OH 44127-1094

Phone

(216) 526-1600

NPI assigned

Jun 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Peter James Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Bedford, OH
  • NPI 1184255549

  Case Management

  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1942939111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20829 MILLER AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192318",
            "telephone_number": "440-840-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E 45TH ST STE 116",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271094",
            "telephone_number": "216-526-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Bonner
• F Maria Bonner, PC
• Jacob Bonner
• Jasmine Bonner
• Joesph Bonner
• Lachia Bonner
• Robert A Bonomo, MD
• Kimberly V Bonsky, LISW
• Carissa Morgan Bonus, PA-C
• Angela Terese Bonvissuto, APRN, FNP-C

• Case Management Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.