BONAVENTURE HEALTH SERVICES INC.


Address: 123 Nw 13th St Ste 214-05, Boca Raton, FL 33432-1641
Phone: 5613724452

BONAVENTURE HEALTH SERVICES INC. (NPI# 1013336346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013336346
Entity Type Organization
Organization Name BONAVENTURE HEALTH SERVICES INC.
Other Organization Name HEALTH CARE
Practice Address 123 Nw 13th St Ste 214-05
Boca Raton
FL 33432-1641
Practice Telephone 5613724452
Practice Fax Number 8776697651
Mailing Telephone 5613724452
Mailing Fax Number 8776697651
Enumeration Date 2014-04-15
Last Update Date 2014-04-15
Authorized Official Name YVELINE O BELLANDE (ADMINISTRATOR)
Authorized Official Telephone 5613724452
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 30211574 FL Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
HEALTH CARE Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336565969 Bonaventure Health Services Inc. Nursing Facility/Intermediate Care Facility 1065 Ne 125th St Ste 101, North Miami, FL 33161-5831 2014-03-06

Office Location

Street Address 123 NW 13TH ST STE 214-05
City BOCA RATON
State FL
Zip Code 33432-1641

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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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Competitor

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City BOCA RATON
Zip Code 33432

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Dataset Information

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.

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