Healthcare Provider Details

I. General information

NPI: 1659453355
Provider Name (Legal Business Name): BONAVENTURE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 12/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13899 BISCAYNE BLVD SUITE 302
NORTH MIAMI BEACH FL
33181-1600
US

IV. Provider business mailing address

13899 BISCAYNE BLVD SUITE 302
NORTH MIAMI BEACH FL
33181-1600
US

V. Phone/Fax

Practice location:
  • Phone: 305-893-5364
  • Fax: 305-893-5660
Mailing address:
  • Phone: 305-893-5364
  • Fax: 305-893-5660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299993852
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number299993852
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number299993852
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number229458
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number299993852
License Number StateFL

VIII. Authorized Official

Name: MS. YVES O BELLANDE
Title or Position: ADMINISTRATOR
Credential: REGISTERED NURSE
Phone: 305-893-5364