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MIKE BOURDEAU
NPI 1790152080
Home Health in Boston, MA

Active since August 21, 2015
10 HOSMER ST, BOSTON, MA 02126(678) 224-8953 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mike Bourdeau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKE BOURDEAU (NPI 1790152080) is an individual home health provider in Boston, Massachusetts and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1790152080
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameMIKE BOURDEAU
Location Address10 HOSMER STBoston, MA 02126-1810
Mailing AddressPo Box 4961Alpharetta, GA 30023-4961
Phone(678) 224-8953
Sole ProprietorYes
Enumeration DateAugust 21, 2015
✔ NPI 1790152080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
10 HOSMER ST, Boston, MA 02126
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mike Bourdeau's NPI number?

The NPI number for Mike Bourdeau is 1790152080. It was assigned to this individual provider in the NPPES registry on August 21, 2015.

Where is Mike Bourdeau located?

Mike Bourdeau practices at 10 Hosmer St, Boston, MA 02126. The listed phone number is (678) 224-8953.

What is Mike Bourdeau's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Mike Bourdeau was last updated on August 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.