Blue Bonnet Hospice , Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE BONNET HOSPICE , INC

Practice address

6400 E Washington Blvd. Suit 109B
Commerce, CA 90040-1820

Phone

(661) 313-9592

NPI assigned

Feb 13, 2021

Last updated

Feb 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adwoa Serwa Osei Nayrko

Title

Administrator

Phone

(805) 587-0957

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1780277400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E WASHINGTON BLVD. SUIT 109B",
            "address_2": "109B",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401820",
            "telephone_number": "661-313-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E WASHINGTON BLVD. SUIT 109B",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401820",
            "telephone_number": "661-313-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BONNET HOSPICE , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "OSEI NAYRKO",
        "authorized_official_first_name": "ADWOA SERWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-587-0957"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andra Coniece Blake, MFTI
• Vincent Blake
• Blue Appron Hospice , Inc
• Blue Appron Hospice. Inc
• Blue Bonnet Home Healthcare. LLC
• Christina Bobadilla
• Richard Robert Boe
• Erika Bolanos
• Adrienne Bolton, MFTI
• Bobbie Jo Bomar

• Community Based Hospice Care Agency in Commerce, CA
• Providers in Commerce, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.