Bonita House, Inc. in Berkeley - Community/behavioral Health
Bonita House, Inc. - NPI 1235344912
Bonita House, Inc. is a Community/behavioral Health in Berkeley, California. Bonita House, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Bonita House, Inc. is 1235344912. The last update date is 2023-09-01.
Bonita House, Inc.'s current location address is 1919 Addison St Ste 204, Berkeley, California. You can contact this provider via phone number 5108997445 and fax number 5106479408. The mailing address for Bonita House, Inc. is 1919 Addison St Ste 204, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bonita House, Inc. |
|---|---|
| Address | 1919 Addison St Ste 204, Berkeley, California |
| Phone Number | 5108997445 |
| Fax Number | 5106479408 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Weissberger Evon Laura |
| Telephone Number | 5105931950 |
NPI Number Detail
| NPI Number | 1235344912 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2023-09-01 |
Provider Mailing Address Detail
| Address | 1919 Addison St Ste 204 |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947041143 |
| Phone Number | 5108997445 |
| Fax Number | 5106479408 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 81492 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81491 | CA | -- | |
| 81492 | CA | -- | |
| 81493 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bonita House, Inc. by the Centers for Medicare & Medicaid Services?
The Bonita House, Inc. has been issued the NPI (National Provider Identifier) 1235344912. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bonita House, Inc.'s physical address?
The Bonita House, Inc. is physically located at 1919 Addison St Ste 204, in the city of Berkeley, CA, with the postal code 947041143.
What is Bonita House, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bonita House, Inc. is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did the Bonita House, Inc. receive the assignment of its 1235344912 from the Centers for Medicare & Medicaid Services?
The Bonita House, Inc. was issued its 1235344912 by the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date was the information regarding Bonita House, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bonita House, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-01.