Organization Active NPI

Bonaventure Health Services Inc

  • Home Health Agency
  • North Miami Beach, FL
National Provider Identifier
1659453355
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993852 Issued in FL
Legal business name
BONAVENTURE HEALTH SERVICES INC
Doing business as
BONAVENTURE HEALTH SERVICES INC
Practice address
13899 Biscayne Blvd
Suite 302
North Miami Beach, FL 33181-1600
Phone
(305) 893-5364
Fax
(305) 893-5660
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Ms. Yves O Bellande, REGISTERED NURSE
Title
Administrator
Phone
(305) 893-5364

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993852 FL Primary
Home Infusion Agency 251F00000X 299993852 FL
Community Based Hospice Care Agency 251G00000X 299993852 FL
Nursing Care Agency 251J00000X 229458 FL
In Home Supportive Care Agency 253Z00000X 299993852 FL

Addresses

Primary practice location

13899 Biscayne Blvd
Suite 302
North Miami Beach, FL 33181-1600

Mailing address

13899 Biscayne Blvd
Suite 302
North Miami Beach, FL 33181-1600
Phone (305) 893-5364

Other names 1

  • BONAVENTURE HEALTH SERVICES INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000557 FL Part A Provider - Home Health Agency 6204097017 Practice locations: Miami, FL; N Miami, FL

Home health agency certification: CCN 687387

Legal name
BONAVENTURE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 15, 2024
Last certification
Jul 26, 2024
Organization structure
CorporationProprietary
Incorporated
Nov 3, 2016 in FL
Enrollment address
1175 NE 125TH St
Suite 203
Miami, FL 33161

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bonaventure Health Services IncCCN 687387
Ownership
-
Certified
Aug 15, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yveline Bellande-Elmo Individual 5% Or Greater Direct Ownership Interest100 Nov 3, 2016
Corporate Officer Nov 3, 2016
Corporate Director Jul 11, 2011
W-2 Managing Employee Nov 3, 2016
Operational/Managerial Control Nov 3, 2016

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1659453355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13899 BISCAYNE BLVD",
            "address_2": "SUITE 302",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331811600",
            "telephone_number": "305-893-5364",
            "fax_number": "305-893-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13899 BISCAYNE BLVD",
            "address_2": "SUITE 302",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331811600",
            "telephone_number": "305-893-5364",
            "fax_number": "305-893-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVENTURE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "BELLANDE",
        "authorized_official_first_name": "YVES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-893-5364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993852",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "FL",
            "license": "299993852",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "299993852",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "229458",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299993852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BONAVENTURE HEALTH SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.