Bonita House, Inc.

LBN: Bonita House, Inc.
Bonita House, Inc. is an health care organization with primary practice located at 1605 Jefferson St , Oakland CA 94612-1215. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Bonita House, Inc. can be contacted via phone (510) 923-1099, or through Weissberger, Laura Evon via phone (105) 931-9505.

Contact Information

Primary practice address
1605 Jefferson St Oakland CA 94612-1215
Phone: (510) 923-1099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weissberger, Laura Evon
Phone: (105) 931-9505

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 01113 California

Profile Details

NPI number 1073728770
LBN Legal business name Bonita House, Inc.
DBA Doing business as
Authorized official Weissberger, Laura Evon
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Aug 26th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073728770 NPPES
California MEDICAID 01113

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