CCN: 748039 NPI: 1962040253 Organization

At Home With Blue Bonnet Home Health

12111 RANCH ROAD 12 STE 114
WIMBERLEY, TX 786765245

Contact Information

Phone 5125378950
Enumeration Date 2019-12-17
Last Updated 2026-03-30

Taxonomies

Code: 253Z00000X
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 13140

providerType 36

censusDivision 7

cbsaActualGeographicLocation 13140

providerType 36

censusDivision 7

cbsaActualGeographicLocation 13140

providerType 36

censusDivision 7

cbsaActualGeographicLocation 13140

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 13140

providerType 36

specialPaymentIndicator

carrierCode 04412

localityCode 99