Organization Active NPI

Bourquecorp

Doing business as comfort keepers

  • In Home Supportive Care Agency
  • Brecksville, OH
National Provider Identifier
1184905168
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BOURQUECORP
Doing business as
comfort keepers
Practice address
7650 Chippewa Rd Ste 300
Brecksville, OH 44141-2319
Phone
(440) 838-5460
Fax
(440) 838-5462
NPI assigned
Sep 2, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Bourque
Title
Owner
Phone
(440) 838-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7650 Chippewa Rd Ste 300
Brecksville, OH 44141-2319

Mailing address

7650 Chippewa Rd Ste 300
Brecksville, OH 44141-2319
Phone (440) 838-5460

Other names 1

  • comfort keepers Doing business as

National Provider Directory

National Provider Directory

Locations

7650 Chippewa Rd
Ste 300
Brecksville, OH 44141
Phone (440) 838-4151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1184905168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 CHIPPEWA RD STE 300",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412319",
            "telephone_number": "440-838-5460",
            "fax_number": "440-838-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CHIPPEWA RD STE 300",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412319",
            "telephone_number": "440-838-5460",
            "fax_number": "440-838-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURQUECORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "BOURQUE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-838-5460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comfort keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.