Provider Demographics
NPI:1982653077
Name:BONNESANT ENTERPRISES, LLC
Entity Type:Organization
Organization Name:BONNESANT ENTERPRISES, LLC
Other - Org Name:DOCTORS ASSOCIATES HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-728-2453
Mailing Address - Street 1:1914 MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-2624
Mailing Address - Country:US
Mailing Address - Phone:931-728-2453
Mailing Address - Fax:931-728-2411
Practice Address - Street 1:1914 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2624
Practice Address - Country:US
Practice Address - Phone:931-728-2453
Practice Address - Fax:931-728-2411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000029251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4085949OtherBCBS OF TN PROVIDER NO
TN4085949Medicaid
TN4085949OtherBCBS OF TN PROVIDER NO