MS. BONITA STREET (NPI# 1730540717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730540717 |
| Entity Type | Individual |
| Full Name | MS. BONITA STREET |
| Credential | PTA |
| Practice Address |
309 Keystone Dr Hopkins SC 29061-8378 |
| Practice Telephone | 8032375733 |
| Mailing Telephone | 8032375733 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | 3474 | SC | Nursing Service Related Providers |
| Street Address |
309 KEYSTONE DR |
| City | HOPKINS |
| State | SC |
| Zip Code | 29061-8378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508250119 | Jumps | Community/Behavioral Health | 222 Jw Neal Circle, Hopkins, SC 29061 | 2015-03-20 |
| 1689972481 | Sonia Darley | Pharmacist | 636 New Stock Drive, Hopkins, SC 29061 | 2011-03-03 |
| 1871708792 | S. Askia Davis | Nurse Practitioner | 9019 Garners Ferry Rd St B, Hopkins, SC 29061 | 2007-05-14 |
| 1043303720 | Medfirst Diabetic Shoes & Supplies | Durable Medical Equipment & Medical Supplies | 112-k White Oak Lane, Lexington, SC 29061 | 2006-10-02 |
| 1851790216 | Alexandra Byers Weathersby | Nurse Practitioner | 9023 Garners Ferry Rd, Hopkins, SC 29061 | 2014-08-21 |
| 1063930360 | Happy Hands Transportation LLC | Private Vehicle | 2703 Trotter Rd, Hopkins, SC 29061-8211 | 2017-09-07 |
| 1295353472 | Kimeka L Peake | Counselor | 129 Bloxome Dr, Hopkins, SC 29061-8225 | 2020-07-14 |
| 1922124635 | Felicia Latrice Mcghee | Counselor | 240 Rosebrook Dr, Hopkins, SC 29061-8388 | 2007-03-22 |
| 1760631360 | Andrea Joyce Richardson | Social Worker | 265 Rosebrooke Way, Hopkins, SC 29061-8389 | 2008-09-18 |
| 1467517649 | Countrywood Nursing Center, LLC | Assisted Living Facility | 1645 Ridge Rd, Hopkins, SC 29061-8432 | 2006-12-27 |
| Find all providers in zip 29061 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178317 | Sernetta Sarazine | Day Training/Habilitation Specialist | 7203 Glen Forest Dr, Greenville, SC 29607-6185 | 2020-06-16 |
| 1063539450 | Vilma P Evans | Day Training/Habilitation Specialist | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2007-03-23 |
| 1699816801 | Dorothy A Gallmon | Day Training/Habilitation Specialist | 1135 Carter St, Columbia, SC 29204-2811 | 2007-02-09 |
Please comment or provide details below to improve the information on MS. BONITA STREET.
| 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.