477 Holdings L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

477 HOLDINGS L.L.C.

Practice address

477 Bonnieville Rd.
Stillwater, PA 17878

Phone

(570) 864-3174

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Sean Buckman

Title

Member

Phone

(954) 616-7215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1972218097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HART PLACE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "18407",
            "telephone_number": "954-616-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 BONNIEVILLE RD.",
            "city": "STILLWATER",
            "state": "PA",
            "postal_code": "17878",
            "telephone_number": "570-864-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "477 HOLDINGS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "BUCKMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "954-616-7215"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith G Bankes
• BNH LLC (Bonham Nursing and Rehabilitation Center)
• Bonnieville Inc. (Bonham Nursing Center)
• Nicole Rae Brodosky, RN
• Jody Danette Confer, DC

• Skilled Nursing Facility in Stillwater, PA
• Providers in Stillwater, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.