MEDICARE: BONTE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881375582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BONTE INC

Provider Business Mailing Address
First Line	:	8210 JEREMIAH LN
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-4165
Country	:	US
Telephone Number	:	240-423-8757
Fax Number	:	301-368-6675

Provider Business Practice Location Address
First Line	:	9001 HARFORD RD
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-4029
Country	:	US
Telephone Number	:	240-423-8757
Fax Number	:	301-368-6675

Authorized Official
Title or Position	:	CEO
Name	:	NGUFOR FUBE DIVINE
Credential	:	DNPC, CRNP-PMH
Telephone Number	:	240-423-8757

Provider Enumeration Date	:	07/26/2023
Last Update Date	:	07/26/2024

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Directions to “BONTE INC ” Practice Location

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