Provider Demographics
NPI:1407137482
Name:BLUEBONNET HEALTHCARE, INC.
Entity type:Organization
Organization Name:BLUEBONNET HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:T
Authorized Official - Last Name:DASPIT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:225-753-0864
Mailing Address - Street 1:17617 S HARRELLS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3532
Mailing Address - Country:US
Mailing Address - Phone:225-753-0864
Mailing Address - Fax:225-753-0948
Practice Address - Street 1:17617 S HARRELLS FERRY RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3532
Practice Address - Country:US
Practice Address - Phone:225-753-0864
Practice Address - Fax:225-753-0948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-02
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health