Bolton Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012073 Issued in TX

Legal business name

BOLTON HEALTHCARE, LLC

Doing business as

Guardian Angel Home Health Care

Practice address

1300 S Frazier St
Suite 205
Conroe, TX 77301-4400

Phone

(936) 828-3739

Fax

(936) 828-3741

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Roy H. Bolton, RN

Title

President

Phone

(903) 764-0033

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Guardian Angel Home Health Care Doing business as

Tax ID family

Bolton Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bolton Health Care L.L.C.

  • Home Health Agency
  • Santa Fe, TX
  • NPI 1194755991
  NPD tax ID

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1386627818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "ELKHART",
            "state": "TX",
            "postal_code": "758390841",
            "telephone_number": "904-764-0033",
            "fax_number": "903-764-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S FRAZIER ST",
            "address_2": "SUITE 205",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014400",
            "telephone_number": "936-828-3739",
            "fax_number": "936-828-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLTON HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-764-0033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012073",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "1810244-03",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810244",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Angel Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Marie Bohlsen, RN
• Matthew Livingston Boineau
• Whitney Boineau
• Connor Bollom
• Bolt Urgent Care and Imaging Center, LLC
• Ricardo Durel Bolton, LCSW
• Jane Bomer, M.O.T., O.T.R.
• James Peter Bonar, M.D.
• Austin Thorne Bond
• Nolan Bond

• Home Health Agency in Conroe, TX
• Providers in Conroe, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.