BLUE WATER DEVELOPMENTAL HOUSING (NPI# 1326477928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326477928 |
| Entity Type | Organization |
| Organization Name | BLUE WATER DEVELOPMENTAL HOUSING |
| Practice Address |
1600 Gratiot Blvd Marysville MI 48040-1145 |
| Practice Telephone | 8103881200 |
| Mailing Telephone | 8103881200 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | MICHELLE C KILBOURNE (SUPPORT WORKER) |
| Authorized Official Telephone | 8103881200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255769345 | Blue Water Developmental Housing | Respite Care | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2013-10-29 |
| 1972930782 | Blue Water Developmental Housing | Respite Care | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2013-10-11 |
| Street Address |
1600 GRATIOT BLVD |
| City | MARYSVILLE |
| State | MI |
| Zip Code | 48040-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906926 | Rodney David Mclane | Chiropractor | 1600 Gratiot Blvd, Suite 6, Marysville, MI 48040-1145 | 2005-07-20 |
| 1942603402 | Darien Russell | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-09-29 |
| 1366845810 | Jacquelyn Wisniewski | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-09-29 |
| 1578966024 | Emily Ann Burns | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-09-29 |
| 1265834832 | Gregory Kobe | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-09-25 |
| 1316349715 | Carla Tuttle | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-09-17 |
| 1285042309 | Paul Charles | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-08-01 |
| 1477960235 | Rachel Navarro | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-07-14 |
| 1457767493 | Kristina Morton | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-07-10 |
| 1316353410 | Kimberly Cooley | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2014-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902106032 | Sheila Washington | Technician | 1600 Gratiot, Marysville, MI 48040 | 2010-10-22 |
| 1861522666 | Kriste Charlene Hollenbaugh | Pharmacist | 1750 Gratiot Blvd, Marysville, MI 48040 | 2007-03-07 |
| 1083760169 | Patrick August Deview | Optometrist | 3160 Gratiot, Marysville, MI 48040 | 2007-01-25 |
| 1346305133 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 205 S Range Rd, Marysville, MI 48040 | 2006-12-22 |
| 1225143514 | City of Marysville | Ambulance | 1355 Delaware Avenue, Marysville, MI 48040 | 2006-08-20 |
| 1033603063 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 205 S Range Rd, Marysville, MI 48040 | 2018-06-22 |
| 1154449635 | Brenda Carolyn Hayden | Pharmacist | 1750 Gratiot Blvd, Marysville, MI 48040 | 2007-03-26 |
| 1235696956 | Lisa Curtis | Licensed Practical Nurse | 35 Carolina, Marysville, MI 48040-1011 | 2019-02-28 |
| 1447268529 | Karlene S. Harbour | Social Worker | 501 Gratiot Blvd, Suite 4, Marysville, MI 48040-1124 | 2006-08-04 |
| 1316020688 | Ks Harbour Consulting | Community/Behavioral Health | 501 Gratiot Blvd, Suite 4, Marysville, MI 48040-1124 | 2006-10-23 |
| Find all providers in zip 48040 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526951 | Amy Crain | In Home Supportive Care | 11555 Us Rt. 36, Marysville, OH 43040 | 2020-10-22 |
| 1609101914 | Goforth Services Dba Comfort Keepers | In Home Supportive Care | 901 H St, Marysville, CA 95901-5125 | 2009-10-05 |
| 1861646630 | Story's Inc. | In Home Supportive Care | 17410 Poling Rd, Marysville, OH 43040-8823 | 2008-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104818 | Work By Faith Home Care LLC | In Home Supportive Care | 708 Van Buren St W, Battle Creek, MI 49037-2218 | 2020-11-06 |
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
| 1851991699 | Cacck Enterprise Inc | In Home Supportive Care | 15851 S Us 27 Ste 314, Lansing, MI 48906-1987 | 2020-10-30 |
| 1194322628 | Albacare LLC | In Home Supportive Care | 2755 Pall Mall Dr, Sterling Heights, MI 48310-5808 | 2020-10-07 |
| 1821604315 | Essential Reliable Care LLC | In Home Supportive Care | 513 Cherry Orchard Rd, Canton, MI 48188-5272 | 2020-09-20 |
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1174138754 | Aliah Sanusi | In Home Supportive Care | 25900 Greenfield Rd Ste 503, Oak Park, MI 48237-1893 | 2020-09-10 |
| 1407461353 | Paradise Home Care LLC | In Home Supportive Care | 5315 Discovery Dr Se, Kentwood, MI 49508-6656 | 2020-09-08 |
| 1437763406 | Kelechi Akubukwe | In Home Supportive Care | 48164 Royal Pointe Dr, Canton, MI 48187-5466 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 48040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.