SHANDA BONNER


Address: 1504 Park Way Dr, Saint Louis, MO 63130-1245
Phone: 3144494946

SHANDA BONNER (NPI# 1609207893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor Other Service Providers

Office Location

Street Address 1504 PARK WAY DR
City SAINT LOUIS
State MO
Zip Code 63130-1245

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City SAINT LOUIS
Zip Code 63130

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Dataset Information

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.

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