BLUE WATER ENDEAVORS, INC. (NPI# 1689816050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689816050 |
Entity Type | Organization |
Organization Name | BLUE WATER ENDEAVORS, INC. |
Practice Address |
13405 Inglewood Avenue Suite 6 Hawthorne CA 90254 |
Mailing Address |
13405 Inglewood Ave Ste 6 Hawthorne CA 90250-5646 |
Practice Telephone | 3102637185 |
Practice Fax Number | 3102637232 |
Mailing Telephone | 3102637185 |
Mailing Fax Number | 3102637232 |
Enumeration Date | 2009-04-01 |
Last Update Date | 2009-04-01 |
Authorized Official Name | MRS. REA RICAFORT (PRESIDENT) |
Authorized Official Telephone | 3102637185 |
Authorized Official Credential | REGISTERED NURSE |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
Street Address |
13405 INGLEWOOD AVENUE SUITE 6 |
City | HAWTHORNE |
State | CA |
Zip Code | 90254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
1518087998 | Mark Lawrence Hurrell | Marriage & Family Therapist | 2200 Pacific Coast Highway, Suite 304a, Hermosa Beach, CA 90254 | 2007-03-30 |
Find all providers in zip 90254 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
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. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447637368 | Mosheahomecare | Home Health | 12219 Hawthorne Blvd, Suite # 202, Hawthorne, CA 90250-3807 | 2015-04-29 |
1841694536 | South Bay Home Health Agency, Inc | Home Health | 13633 Inglewood Ave, Hawthorne, CA 90250-5610 | 2014-10-09 |
1861673220 | California Healthcare Services | Home Health | 13658 Hawthorne Blvd, Suite 200a, Hawthorne, CA 90250-5824 | 2007-11-14 |
1861686610 | Tender Loving Touch Home Health, Inc. | Home Health | 12517 Crenshaw Blvd, Hawthorne, CA 90250-3302 | 2007-09-04 |
1356547996 | Caring Solutions Home Care, LLC | Home Health | 238 Goffle Rd, Hawthorne, NJ 07506-3605 | 2007-06-21 |
1770609752 | Always There Inc | Home Health | 383 Lafayette Avenue, Hawthorne, NJ 07506 | 2007-03-22 |
1508927617 | Isocare Medical Extenders Services Inc. | Home Health | 13527 Hawthorne Blvd, Hawthorne, CA 90250 | 2006-12-12 |
1861451841 | Gidda's Home Health Services, Inc. | Home Health | 13351 Hawthorne Blvd, Hawthorne, CA 90250-5802 | 2006-03-20 |
1689672503 | Angels Healing Home Health Care Corp | Home Health | 13663 Prairie Ave, Suite D, Hawthorne, CA 90250-7372 | 2005-07-13 |
1124025119 | Always Stay Home Nursing Service | Home Health | 11633 Hawthorne Blvd, Suite 220, Hawthorne, CA 90250-2321 | 2005-07-05 |
Find all providers in HAWTHORNE |
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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.