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BONAVENTE CORPORATION NPI 1801053277


NPI Information

NPI: 1801053277
Provider Name: BONAVENTE CORPORATION

Doing Business As: BONAVENTE FREMONT HOME

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
6429 N ELLENDALE AVE
FRESNO, CA
ZIP 93722
Phone: (559) 271-9803
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BONAVENTE CORPORATION is a residential treatment facility, intellectual and/or developmental disabilities in Fresno, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BONAVENTE CORPORATION NPI is 1801053277. The provider is registered as an organization entity type.
The provider Is Doing Business As Bonavente Fremont Home.

The provider's business location address is:

6429 N ELLENDALE AVE
FRESNO, CA
ZIP 93722-410
Phone: (559) 271-9803
Fax: (559) 275-8438

The provider's authorized official is Nida A Bonavente .
The authorized official title is Owner / President and has the following contact phone number (559) 313-9052.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 8/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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