BONIFAY NSG & REHAB (NPI# 1710080890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710080890 |
| Entity Type | Organization |
| Organization Name | BONIFAY NSG & REHAB |
| Practice Address |
304 N Brock Ave Bonifay FL 32425 |
| Practice Telephone | 8505479289 |
| Practice Fax Number | 8505472575 |
| Mailing Telephone | 8505479289 |
| Mailing Fax Number | 8505472575 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | MRS. NANCY E HALL (ADMINISTRATOR) |
| Authorized Official Telephone | 8505479289 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | SNF10570961 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 026344300 | 05 |
| Street Address |
304 N BROCK AVE |
| City | BONIFAY |
| State | FL |
| Zip Code | 32425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650270 | Elizabeth H Lolley | Counselor | 1987 Remington Pl, Bonifay, FL 32425 | 2020-02-06 |
| 1891333274 | Traci Corbin | Registered Nurse | 603 Scenic Hill Circle, Bonifay, FL 32425 | 2019-12-16 |
| 1912339565 | Cb Health Ventures, Inc. | Assisted Living Facility | 108 Wagner Rd., Bonifay, FL 32425 | 2013-08-06 |
| 1558538868 | Patrick L Hawkins | Family Medicine | 3120 Southride Lane, Bonifay, FL 32425 | 2008-05-15 |
| 1477763860 | Pak Rural Health | Internal Medicine | 812 S. Weeks St, Bonifay, FL 32425 | 2007-05-23 |
| 1073680245 | Ahmad Tariq Ismail | Family Medicine | 110 East Byrd Ave, Bonifay, FL 32425 | 2006-11-30 |
| 1982775805 | County of Holmes Office Clerk Board of County Commissioners | Ambulance | 949 E. Hwy 90, Bonifay, FL 32425 | 2006-11-13 |
| 1710949318 | Florida Department of Health | Public Health or Welfare | 603 Scenic Circle, Bonifay, FL 32425 | 2006-04-06 |
| 1366431702 | Holmes County Hospital Corporation | General Acute Care Hospital | 2600 Hospital Drive, Bonifay, FL 32425 | 2005-10-18 |
| 1457353310 | Muhammad Amin | Surgery | 402 East Byrd Ave, Bonifay, FL 32425 | 2005-08-11 |
| Find all providers in zip 32425 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013489962 | Boswell Manor LLC | Assisted Living Facility | 2185 Highway 173, Bonifay, FL 32425-5705 | 2018-12-17 |
| 1912339565 | Cb Health Ventures, Inc. | Assisted Living Facility | 108 Wagner Rd., Bonifay, FL 32425 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| 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.