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Organization

BONVIVA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHELSEA WILLIS RN (CEO)
(801) 628-3917
Entity
Organization

Contact information

Practice address
2331 RIATA PARK CT, KATY, TX 77494-5092
(832) 377-1220
Mailing address
2331 RIATA PARK CT, KATY, TX 77494-5092
(832) 377-1220

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TE1100X
Exercise & Sports Psychologist
163WH0200X
Home Health Registered Nurse
163WN1003X
Nutrition Support Registered Nurse
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
343800000X
Secured Medical Transport (VAN)
343900000X
Non-emergency Medical Transport (VAN)
Primary
364SH1100X
Holistic Clinical Nurse Specialist
372500000X
Chore Provider
372600000X
Adult Companion

Other

Enumeration date
06/19/2022
Last updated
08/02/2022
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