Healthcare Provider Details

I. General information

NPI: 1427315167
Provider Name (Legal Business Name): BON HOMIE, LTD. ADULT DAY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 N LEWIS RD
LIMERICK PA
19468-1511
US

IV. Provider business mailing address

470 N LEWIS RD
LIMERICK PA
19468-1511
US

V. Phone/Fax

Practice location:
  • Phone: 610-792-8800
  • Fax: 610-792-8820
Mailing address:
  • Phone: 610-792-8800
  • Fax: 610-792-8820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number115880
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANN K. SHORT
Title or Position: DIRECTOR
Credential:
Phone: 610-792-8800