BONAVENTE ICF DDN HOME
NPI 1841345782
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fresno, CA

Active since January 23, 2007
6404 N CORNELIA AVE, FRESNO, CA 93722(559) 271-5245(559) 277-4708 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonavente Icf Ddn Home NPPES

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

BONAVENTE ICF DDN HOME (NPI 1841345782) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fresno, California and active in the NPI registry since January 2007. The organization lists Nida A. Bonavente, President, as its authorized official.

NPPES Registry Identity

NPI1841345782
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameBONAVENTE ICF DDN HOME
Location Address6404 N CORNELIA AVEFresno, CA 93722-3645
Mailing Address6404 N Cornelia AveFresno, CA 93722-3645 · (559) 271-5245 · Fax (559) 277-4708
Fax(559) 277-4708
Organization SubpartNo
Authorized OfficialNida A. BonaventePresident · (559) 271-5245
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1841345782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
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.
6404 N CORNELIA AVE, Fresno, CA 93722

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
6404 N CORNELIA AVE
FRESNO, CA 93722

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 Bonavente Icf Ddn Home's NPI number?

The NPI number for Bonavente Icf Ddn Home is 1841345782. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Bonavente Icf Ddn Home located?

Bonavente Icf Ddn Home is located at 6404 N Cornelia Ave, Fresno, CA 93722. The listed phone number is (559) 271-5245.

What is Bonavente Icf Ddn Home's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Bonavente Icf Ddn Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.