Provider Demographics
NPI:1891996187
Name:BLUEBONNET SENIOR CARE LLC
Entity Type:Organization
Organization Name:BLUEBONNET SENIOR CARE LLC
Other - Org Name:BLUEBONNET SENIOR CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:RIMANDO
Authorized Official - Last Name:JULARBAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-355-1305
Mailing Address - Street 1:3434 ACORN SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4784
Mailing Address - Country:US
Mailing Address - Phone:281-355-1305
Mailing Address - Fax:281-355-1341
Practice Address - Street 1:3434 ACORN SPRINGS LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-4784
Practice Address - Country:US
Practice Address - Phone:281-355-1305
Practice Address - Fax:281-355-1341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty