Bold Community Care Services

Primary specialty

Child Physical Disabilities Respite CareTaxonomy code 385HR2065X

Legal business name

BOLD COMMUNITY CARE SERVICES

Practice address

224 Cherry Street
Roselle, NJ 07203

Phone

(973) 444-6440

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Washington

Title

Chief Executive Officer

Phone

(973) 444-6440

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952820193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CHERRY ST",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031913",
            "telephone_number": "973-444-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CHERRY STREET",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "07203",
            "telephone_number": "973-444-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD COMMUNITY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-444-6440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siobhan Nicole Barrington, LCSW
• Esaie Baudin
• Alexei L Belfer, MS, CMT
• Melinda Benoit
• Navin Boggavarapu, DDS
• Borough of Roselle
• Sancha Browne
• BT Express Transportation
• Angelica Maria Caleroperez, LSW
• Diana Marcela Caly, PTA

• All providers in Roselle, NJ
• Child Physical Disabilities Respite Care in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.