Organization Active NPI

Boudine & Associates, LLC

  • In Home Supportive Care Agency
  • Georgetown, TX
National Provider Identifier
1992219430
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BOUDINE & ASSOCIATES, LLC
Practice address
2406 Dawn Dr
Georgetown, TX 78628-3314
Phone
(512) 942-5284
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Bo Donohoo, LTC, MBA, PMP
Title
Operating Owner
Phone
(512) 809-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X TX Primary

Addresses

Primary practice location

2406 Dawn Dr
Georgetown, TX 78628-3314

Mailing address

633 Pinnacle Dr
Georgetown, TX 78626-8217
Phone (512) 809-9944

Other names 1

  • Homewatch CareGivers of Georgetown Doing business as

National Provider Directory

National Provider Directory

Locations

2406 Dawn Dr
Georgetown, TX 78628
Phone (512) 942-5284

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1992219430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 PINNACLE DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786268217",
            "telephone_number": "512-809-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 DAWN DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283314",
            "telephone_number": "512-942-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUDINE & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "DONOHOO",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "OPERATING OWNER",
        "authorized_official_telephone_number": "512-809-9944",
        "authorized_official_credential": "LTC, MBA, PMP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers of Georgetown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homewatch CareGivers of Georgetown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.