Healthcare Provider Details

I. General information

NPI: 1700332459
Provider Name (Legal Business Name): BONNET COMPASSIONATE HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 RIVER ST
HYDE PARK MA
02136
US

IV. Provider business mailing address

745 RIVER ST
HYDE PARK MA
02136-6441
US

V. Phone/Fax

Practice location:
  • Phone: 781-540-9649
  • Fax:
Mailing address:
  • Phone: 781-540-9649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JEAN BONNET JR.
Title or Position: OWNER
Credential:
Phone: 781-540-9649