Active NPI
Bonaventure Health Services Inc
- Home Health Agency
- North Miami Beach, FL
National Provider Identifier
1659453355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299993852
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- -
- Certified
- Aug 15, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Yveline Bellande-Elmo | 5% Or Greater Direct Ownership Interest | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.