MEDICARE: BONAVENTURE HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	229458	FL
2	251F00000X	Home Infusion Agency	299993852	FL
3	251G00000X	Community Based Hospice Care Agency	299993852	FL
4	253Z00000X	In Home Supportive Care Agency	299993852	FL
5	251E00000X	Home Health Agency	299993852	FL

General Provider Information

NPI Number	:	1659453355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BONAVENTURE HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	13899 BISCAYNE BLVD
Second Line	:	SUITE 302
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33181-1600
Country	:	US
Telephone Number	:	305-893-5364
Fax Number	:	305-893-5660

Provider Business Practice Location Address
First Line	:	13899 BISCAYNE BLVD
Second Line	:	SUITE 302
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33181-1600
Country	:	US
Telephone Number	:	305-893-5364
Fax Number	:	305-893-5660

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. YVES O BELLANDE
Credential	:	REGISTERED NURSE
Telephone Number	:	305-893-5364

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	12/16/2011

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Directions to “BONAVENTURE HEALTH SERVICES INC ” Practice Location

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