MR. RAYMOND BONNER JR. RN
NPI 1124443221
Custodial Care Facility - Adult Care Home in Palm Coast, FL

Q: What is Raymond Bonner's NPI number?

The NPI number for Raymond Bonner is 1124443221. It was assigned to this individual provider in the NPPES registry on February 26, 2014.

Q: What is Raymond Bonner's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Bonner was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 26, 2014

1 LAKE PLACID LN, PALM COAST, FL 32137(386) 445-4680 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Raymond Bonner Jr. Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RAYMOND BONNER JR. RN (NPI 1124443221) is an individual adult care home provider in Palm Coast, Florida, licensed in Florida (6906652) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1124443221

Entity TypeIndividualMale

Primary Taxonomy311ZA0620X

Provider Legal NameMR. RAYMOND BONNER JR.Credential: RN

Location Address1 LAKE PLACID LNPalm Coast, FL 32137-9505

Mailing Address1 Lake Placid LnPalm Coast, FL 32137-9505 · (386) 445-4680

Phone(386) 445-4680

Sole ProprietorYes

Enumeration DateFebruary 26, 2014

✔ NPI 1124443221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in FL · 6906652

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1 LAKE PLACID LN, Palm Coast, FL 32137

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Bonner's NPI number?

The NPI number for Raymond Bonner is 1124443221. It was assigned to this individual provider in the NPPES registry on February 26, 2014.

Where is Raymond Bonner located?

Raymond Bonner practices at 1 Lake Placid Ln, Palm Coast, FL 32137. The listed phone number is (386) 445-4680.

What is Raymond Bonner's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Raymond Bonner was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.