BONITA HOUSE, INC. (NPI# 1053526715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053526715 |
| Entity Type | Organization |
| Organization Name | BONITA HOUSE, INC. |
| Practice Address |
1422 Harrison St Oakland CA 94612-3903 |
| Mailing Address |
6333 Telegraph Ave Suite 102 Oakland CA 94609-1359 |
| Practice Telephone | 5108091780 |
| Practice Fax Number | 5108931642 |
| Mailing Telephone | 5109231099 |
| Mailing Fax Number | 5109230894 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | MR. RICK R CRISPINO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5109231099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 01EE1 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 01EE1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1396950085 | Bonita House, Inc. | Community/Behavioral Health | 1802 Fairview St, Berkeley, CA 94703-2414 | 2007-05-14 |
| 1073728770 | Bonita House, Inc. | Case Management | 6333 Telegraph Ave Ste 102, Oakland, CA 94609-1359 | 2007-05-14 |
| 1902253016 | Bonita House, Inc. | Community/Behavioral Health | 7200 Bancroft Ave, Suite 267, Oakland, CA 94605-2403 | 2016-05-18 |
| 1235344912 | Bonita House, Inc. | Community/Behavioral Health | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-05-14 |
| 1760697312 | Bonita House, Inc. | Community/Behavioral Health | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-05-14 |
| 1528080553 | Bonita House, Inc. | Case Management | 6333 Telegraph Ave, Suite 102, Oakland, CA 94609-1359 | 2006-07-25 |
| Street Address |
1422 HARRISON ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396806691 | Mike Thomas Pfister | Counselor | 1422 Harrison St, Oakland, CA 94612-3903 | 2006-12-12 |
| 1497267579 | Dale Wong | Registered Nurse | 1422 Harrison St, Oakland, CA 94612-3903 | 2017-10-30 |
| 1609395680 | Demisha Danielle Barker | Case Manager/Care Coordinator | 1422 Harrison St, Oakland, CA 94612-3903 | 2017-09-11 |
| 1336680081 | Jesse Marcial Roach | Case Manager/Care Coordinator | 1422 Harrison St, Oakland, CA 94612-3903 | 2017-03-14 |
| 1679011688 | Solari Pierce Jenkins | Case Manager/Care Coordinator | 1422 Harrison St, Oakland, CA 94612-3903 | 2017-02-09 |
| 1629526538 | Lisa Marie Horne | Case Manager/Care Coordinator | 1422 Harrison St, Bonita House Inc / Host Program, Oakland, CA 94612-3903 | 2016-09-20 |
| 1730636176 | Terriana Le Jae Briggs | Case Manager/Care Coordinator | 1422 Harrison St, Oakland, CA 94612-3903 | 2016-09-01 |
| 1285093310 | Andrea Tamiko Inouye | Specialist | 1422 Harrison St, Oakland, CA 94612-3903 | 2016-02-17 |
| 1982073888 | Tiffani Ordonez | Registered Nurse | 1422 Harrison St, Oakland, CA 94612-3903 | 2015-09-21 |
| 1194117598 | Daniel Cooperman | Specialist | 1422 Harrison St, Oakland, CA 94612-3903 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1306315460 | East Oakland Community Project | Case Management | 7515 International Blvd, Oakland, CA 94621-2843 | 2018-11-19 |
| 1194208504 | Abode Services | Case Management | 433 Hegenberger Rd Ste 220, Oakland, CA 94621-1448 | 2018-09-11 |
| 1093202095 | International Rescue Committee, Inc. | Case Management | 440 Grand Ave Ste 500, Oakland, CA 94610-5012 | 2018-04-16 |
| 1598269573 | Superior Court of Ca, Alameda County | Case Management | 661 Washington St Rm 223, Oakland, CA 94607-3922 | 2018-03-22 |
| 1477087005 | Nathaniel Fripp | Case Management | 484 Lake Park Ave, Suite 329, Oakland, CA 94610-2730 | 2017-04-20 |
| 1699210153 | Ashmond Swayne | Case Management | 6405 Brann St Apt B, Oakland, CA 94605-2046 | 2016-12-19 |
| 1639531767 | Abode Services | Case Management | 1700 Broadway Ste 200, Oakland, CA 94612-2141 | 2016-03-28 |
| 1245619378 | Boss-ctec | Case Management | 1600 San Pablo Ave, Oakland, CA 94612-1506 | 2015-05-21 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.