Beatrice A Bonet
Individual provider Active NPI Nurse's Aide · Milford, CT
NPI 1700429016 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1700429016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NA9994760 (CT)
- Practice address
- 280 Quarry Rd Unit C
Milford, CT 06460-8543 - Phone
- (203) 772-9725
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA9994760 | CT | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Life Care LLC | Current |
Accepting new patients |
Locations
280 Quarry Rd
#C
Milford, CT 06460
Phone (203) 772-9725
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | NA9994760 | CT | |
| Nurse's Aide | 376K00000X | NA9994760 | CT | Yes |
Addresses
Primary practice location
280 Quarry Rd Unit C
Milford, CT 06460-8543
Mailing address
4 Skiff St Apt B310
Hamden, CT 06514-1834
Phone (860) 985-6905
Other practice location 1
4 Skiff St Apt B310
Hamden, CT 06514-1834
Phone (860) 985-6905
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA9994760 | Other | CT | CERTIFIED NURSING AIDE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@gracefullifecares.com | Direct | |
| CONNECT URL | bonet@gracefullifecares.com | Direct |
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.