Bonnie Brae

LBN: Bonnie Brae
Bonnie Brae is an health care organization with primary practice located at 3415 Valley Rd , Basking Ridge NJ 07920-2655. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Bonnie Brae can be contacted via phone (908) 647-0800, or through Powers, William M. via phone (908) 647-0800.

Contact Information

Primary practice address
3415 Valley Rd Basking Ridge NJ 07920-2655
Phone: (908) 647-0800
Fax: (908) 647-5021
Website:
Map and Directions
Authorized official contact:
Name: Powers, William M.
Phone: (908) 647-0800

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X New Jersey

Profile Details

NPI number 1003081605
LBN Legal business name Bonnie Brae
DBA Doing business as
Authorized official Powers, William M.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - 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 1003081605 NPPES
New Jersey MEDICAID 0073661

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