BONITA HOUSE, INC. (NPI# 1528080553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528080553 |
| Entity Type | Organization |
| Organization Name | BONITA HOUSE, INC. |
| Practice Address |
6333 Telegraph Ave Suite 102 Oakland CA 94609-1359 |
| Practice Telephone | 5109231099 |
| Practice Fax Number | 5109230894 |
| Mailing Telephone | 5109231099 |
| Mailing Fax Number | 5109230894 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TERRY RUBIN ORTIZ (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 5109231099 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251B00000X | Case Management | CA | Agencies | |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities |
| 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 |
| 1053526715 | Bonita House, Inc. | Case Management | 1422 Harrison St, Oakland, CA 94612-3903 | 2007-05-14 |
| 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 |
| Street Address |
6333 TELEGRAPH AVE SUITE 102 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278991 | Charline Bayon Simmons | Psychiatry & Neurology | 6333 Telegraph Ave, 200, Oakland, CA 94609-1359 | 2006-01-07 |
| 1376143040 | Lisette Carrillo | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-10-30 |
| 1497366694 | Debbie Terry Cruz | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-08-11 |
| 1699314740 | Kimbra J Baker | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-01-06 |
| 1609419019 | Marlyn Murcia | Case Manager/Care Coordinator | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1265075667 | Adebisi Adewale | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1093356826 | Shaeonna Shamara Muhammad | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-02 |
| 1053962779 | Selene Singh | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-09-24 |
| 1629626148 | Monte Hardy | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| 1497303937 | Keatonia Isa Hall | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| 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.