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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONITA HOUSE, INC.

Deactivated Organization

BONITA HOUSE, INC. is a Community/Behavioral Health organization located in BERKELEY, California. NPI 1235344912 is deactivated in the NPPES registry. Verify at CMS.

Community/Behavioral Health · BERKELEY, CA

This NPI has been deactivated. The record was deactivated on March 17, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1235344912
Provider Type
Organization
NPI Issued
May 14, 2007 (15.841095890411 yrs)
Last Updated
Dec 24, 2024
Deactivated
Mar 17, 2023
Licenses
81491 (CA)
81492 (CA)

Practice Information

Address
1410 BONITA AVE
BERKELEY, CA, 947091909
Browse CA providers · Browse ZIP 94709
Phone
5105264765
Fax
5105262887
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Community/Behavioral Health
Additional Specialty
Community/Behavioral Health

Other Community/Behavioral Health Organizations in BERKELEY, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.