Bonney Home Inc

LBN: Bonney Home Inc
Bonney Home Inc is an health care organization with primary practice located at 2021 Barbara Ave , Gallup NM 87301-6705. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Bonney Home Inc can be contacted via phone (505) 879-1587, or through Bonney, Juliana Ofosua via phone (505) 879-1587.

Contact Information

Primary practice address
2021 Barbara Ave Gallup NM 87301-6705
Phone: (505) 879-1587
Fax: (505) 863-6113
Website:
Map and Directions
Authorized official contact:
Name: Bonney, Juliana Ofosua
Phone: (505) 879-1587

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1316241912
LBN Legal business name Bonney Home Inc
DBA Doing business as
Authorized official Bonney, Juliana Ofosua
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2010
Last updated Dec 22nd, 2010 - about 16 years ago

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 1316241912 NPPES
New Mexico MEDICAID D2823

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