Bonita Guest Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BONITA GUEST HOME LLC

Practice address

5735 Sunny View Dr
Bonita, CA 91902-2952

Phone

(619) 472-8884

Fax

(619) 472-8884

NPI assigned

May 27, 2024

Organization subpart

No

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

Authorized official

Name

Alex Carolino

Title

Administrator

Phone

(619) 472-8884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1972343127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 SUNNY VIEW DR",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 SUNNY VIEW DR",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022952",
            "telephone_number": "619-472-8884",
            "fax_number": "619-472-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA GUEST HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "CAROLINO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-472-8884"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitaliy Jacob Berger, DDS
• Jody Warren Bethea, PT
• Ryan Birtcher, PA
• Bonita Cardiovascular Med GRP Inc
• Bonita Drive Thru Pharmacy (Bonita Pharmacy)
• Bonita Medical Supply, Inc.
• Bonita Pharmacy
• Bonita Pharmacy Inc (Bonita Pharmacy)
• Bonita Point Family Optometry, Inc.
• Lauren Elise Branham

• Assisted Living Facility in Bonita, CA
• Providers in Bonita, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.