SHANDA BONNER (NPI# 1609207893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609207893 |
Entity Type | Individual |
Full Name | SHANDA BONNER |
Practice Address |
1504 Park Way Dr Saint Louis MO 63130-1245 |
Practice Telephone | 3144494946 |
Practice Fax Number | 3144494946 |
Mailing Telephone | 3144494946 |
Mailing Fax Number | 3144494946 |
Enumeration Date | 2013-12-12 |
Last Update Date | 2013-12-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers |
Street Address |
1504 PARK WAY DR |
City | SAINT LOUIS |
State | MO |
Zip Code | 63130-1245 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669891297 | Abundant Care Consumer Direct Services LLC | Home Health | 1504 Park Way Dr, Saint Louis, MO 63130-1245 | 2014-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
Find all providers in zip 63130 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
1063967339 | Stephanie Kennedy | Contractor | 5890 Kennerly Ave, Saint Louis, MO 63112-3822 | 2016-08-16 |
1407200728 | Desiray Taylor | Contractor | 2318 Woodson Rd, Unit 142324, Saint Louis, MO 63114-5544 | 2016-04-22 |
1427422336 | Northlight Development Lp | Contractor | 3414 Hawthorne Blvd, Saint Louis, MO 63104-1623 | 2015-11-17 |
1497148845 | Walter Kopecky Jr. | Contractor | 342 Royal Valley Dr, Saint Louis, MO 63141-6653 | 2015-03-10 |
1033513692 | Jack Sailor | Contractor | 2206 Lucas Ave Unit 508, Saint Louis, MO 63103-1555 | 2014-10-10 |
1649696386 | North American Rural Health Services, Inc. | Contractor | 9245 Watson Industrial Park, Saint Louis, MO 63126-1518 | 2014-03-05 |
1043579063 | Tonia Denise Ambus | Contractor | 10262 Page Ave, Saint Louis, MO 63132-1322 | 2012-05-10 |
1700175882 | Marvelous Clark | Contractor | 5923 Theodosia Ave, Saint Louis, MO 63112-3622 | 2011-03-29 |
1720214760 | Especial Needs, LLC | Contractor | 1850 Borman Court, Saint Louis, MO 63146 | 2009-06-04 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63130 |
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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.