Bonfire Recovery Services LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BONFIRE RECOVERY SERVICES LLC

Practice address

10 Grove St Unit a
Dover, NH 03820-3334

Phone

(603) 235-1489

Fax

(888) 308-5484

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

John Eldredge, MSW, MLADCNPI 1194179895

Title

Owner

Phone

(603) 235-1489

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Eldredge, MSW, MLADC

  • Addiction (Substance Use Disorder) Counselor
  • Dover, NH
  • NPI 1194179895
  NPD (past) Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1972059772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GROVE ST UNIT A",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203334",
            "telephone_number": "603-235-1489",
            "fax_number": "888-308-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GROVE ST UNIT A",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203334",
            "telephone_number": "603-235-1489",
            "fax_number": "888-308-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONFIRE RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "ELDREDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-235-1489",
        "authorized_official_credential": "MSW, MLADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Rituals Wellness & Spa
• Pragati Bogra, MD
• Paula Boivin, OTR/L
• Sara Mendoza Bollacke
• Sarah Frances Bolton, OTR/L
• Janet Luby Bonnell, PTA
• Jessica Loren Borden-Elfner, RDMS
• Calla Boria, CCC-SLP
• Kelly Borish
• Eleanor Bossi, PHARMD

• Substance Abuse Rehabilitation Facility in Dover, NH
• Providers in Dover, NH by specialty
• Substance Abuse Rehabilitation Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.