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BONAFIDE HEALTHCARE SERVICES LLC
NPI 1205460474
Nurse Practitioner - Primary Care in Boynton Beach, FL

Active since February 26, 2020
8579 GRAND PRIX LN, BOYNTON BEACH, FL 33472(754) 245-9993 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2020, Feb 26, 2020 (2 updates tracked since 2020).

About Bonafide Healthcare Services Llc NPPES

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

BONAFIDE HEALTHCARE SERVICES LLC (NPI 1205460474) is a healthcare organization registered as a primary care in Boynton Beach, Florida and active in the NPI registry since February 2020. The organization lists Marie B Samson-joseph, President, as its authorized official.

NPPES Registry Identity

NPI1205460474
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBONAFIDE HEALTHCARE SERVICES LLC
Location Address8579 GRAND PRIX LNBoynton Beach, FL 33472-2736
Mailing Address8579 Grand Prix LnBoynton Beach, FL 33472-2736 · (754) 245-9993
Phone(754) 245-9993
Organization SubpartNo
Authorized OfficialMarie B Samson-josephPresident · (754) 245-9993
Enumeration DateFebruary 26, 2020
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1205460474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
8579 GRAND PRIX LN, Boynton Beach, FL 33472
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonafide Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bonafide Healthcare Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nerlande Anneus
Nurse Practitioner
NPI 1689400236
192 KENSINGTON WAY
Royal Palm Beach, FL 33414
(561) 309-5564
✔ PECOS9.5 mi
Marie Samson-Joseph, APRN
Nurse Practitioner
NPI 1942350848
3852 NW 62ND ST
Coconut Creek, FL 33073
(954) 429-9721
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bonafide Healthcare Services LLC's NPI number?

The NPI number for Bonafide Healthcare Services LLC is 1205460474. It was assigned to this organization in the NPPES registry on February 26, 2020.

Where is Bonafide Healthcare Services LLC located?

Bonafide Healthcare Services LLC is located at 8579 Grand Prix Ln, Boynton Beach, FL 33472. The listed phone number is (754) 245-9993.

What is Bonafide Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Bonafide Healthcare Services LLC enrolled in Medicare?

Yes. Bonafide Healthcare Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bonafide Healthcare Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bonafide Healthcare Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bonafide Healthcare Services LLC was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.