Bonnesant Enterprises, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000000029 Issued in TN

Legal business name

BONNESANT ENTERPRISES, LLC

Doing business as

Doctors Associates Home Health

Practice address

1914 McArthur St
Manchester, TN 37355-2624

Phone

(931) 728-2453

Fax

(931) 728-2411

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dan Hogan

Title

Ceo

Phone

(931) 728-2453

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Doctors Associates Home Health Doing business as

Tax ID family

Beacon Home Health2 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.

• Suncrest Home Health of Manchester, Inc.

  dba Beacon Home Health

  • Home Health Agency
  • Manchester, TN
  • NPI 1023312626
  NPD tax ID

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1982653077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552624",
            "telephone_number": "931-728-2453",
            "fax_number": "931-728-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552624",
            "telephone_number": "931-728-2453",
            "fax_number": "931-728-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNESANT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-728-2453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN PROVIDER NO",
            "identifier": "4085949",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4085949",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Associates Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Phillips Bender, RN
• Bill B. Hollins D.O. P.C.
• Suzanne Normand Blackwood, LPC-MHSP
• Bledsoe Falls Emergency Physicians LLC
• Tina Marie Bond, RN
• Cristi Lee Bouldin, DPM
• Eric B Bouldin, D.P.M.
• Macey Elyse Bowman
• Ronald Bradford, D.PH.
• Robin Michael Brady, OD

• Home Health Agency in Manchester, TN
• Providers in Manchester, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.