BONNIE'S GUEST HOUSE INC. (NPI# 1336671874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336671874 |
Entity Type | Organization |
Organization Name | BONNIE'S GUEST HOUSE INC. |
Other Organization Name | BONNIES GUEST HOUSE |
Practice Address |
135 N Bonnie Ave Pasadena CA 91106-2103 |
Practice Telephone | 2134001502 |
Mailing Telephone | 2134001502 |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |
Authorized Official Name | MRS. DESIREE ALVARADO (CERTIFIED ADMINISTRATOR) |
Authorized Official Telephone | 2134001502 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
198601069 | CA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | COMMUNITY CARE LICENSING DIVISION | 198601069 | 01 |
Other Name | Type Code |
---|---|
Bonnies Guest House | Doing Business As Name - Organization |
Street Address |
135 N BONNIE AVE |
City | PASADENA |
State | CA |
Zip Code | 91106-2103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952842502 | Desiree Alvarado | Case Manager/Care Coordinator | 135 N Bonnie Ave, Pasadena, CA 91106-2103 | 2017-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
Find all providers in zip 91106 |
Taxonomy Code | 3104A0625X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Mental Illness |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
Notes: [7/1/2003: new] |
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1215404769 | Arm Group Homes LLC. | Assisted Living Facility | 53 Newburn Ct, Beaumont, CA 92223-3131 | 2018-11-01 |
1679052849 | Laulelei Care Solutions LLC | Assisted Living Facility | 7551 Sweetfern Way, Sacramento, CA 95822-5726 | 2018-08-09 |
1922584903 | Diya Senior Care Corp | Assisted Living Facility | 366 Lassenpark Cir, San Jose, CA 95136-2159 | 2018-07-13 |
1992293732 | Recuperative and Supportive Services, LLC | Assisted Living Facility | 21200 Ventura Blvd, Woodland Hills, CA 91364-2106 | 2018-04-26 |
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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.