BLUE HAVEN ADULT CENTER (NPI# 1760028724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760028724 |
| Entity Type | Organization |
| Organization Name | BLUE HAVEN ADULT CENTER |
| Practice Address |
1725 Lott Rd Eight Mile AL 36613-3845 |
| Practice Telephone | 2514557037 |
| Mailing Telephone | 2514557037 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | MS. ANNIE LOU WILLIAMS (ADMINISTRATOR/DIRECTOR) |
| Authorized Official Telephone | 2514557037 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
1725 LOTT RD |
| City | EIGHT MILE |
| State | AL |
| Zip Code | 36613-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567536 | Mari Scott Emanuel | Respiratory Therapist, Certified | 4811 Henry Rd, Eight Mile, AL 36613-2127 | 2019-09-17 |
| 1497967673 | William Carroll | Specialist/Technologist | 5735 College Parkway, Mobile, AL 36613-2842 | 2007-05-03 |
| 1750417002 | Encore Rehabilitation Inc | Clinic/Center | 5735 College Pkwy, Encore Rehab At Booth Bldg, Mobile, AL 36613-2842 | 2007-02-23 |
| 1407327240 | Abigail Bush | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Mobile, AL 36613-2842 | 2018-12-05 |
| 1356811277 | Samantha Ann Karp | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Mobile, AL 36613-2842 | 2018-12-04 |
| 1952871816 | Zoe Phillips | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Eight Mile, AL 36613-2842 | 2018-12-04 |
| 1174093132 | Cheyne Bush | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Mobile, AL 36613-2842 | 2018-12-03 |
| 1578078770 | Ross G Key | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Eight Mile, AL 36613-2842 | 2017-12-10 |
| 1013422518 | Allison Renee Gaillard | Student in an Organized Health Care Education/Training Program | 5735 College Pkwy, Eight Mile, AL 36613-2842 | 2017-12-06 |
| 1841703691 | Jonathan David Hardy | Specialist/Technologist | 5735 College Pkwy, Eight Mile, AL 36613-2842 | 2017-11-14 |
| Find all providers in zip 36613 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230817 | South Highland Adult Day Care Center | Clinic/Center | 2035 Highland Ave S, Birmingham, AL 35205-3801 | 2020-06-17 |
| 1578196911 | Huntsville-madison County Senior Center | Clinic/Center | 2200 Drake Ave Sw, Huntsville, AL 35805-5110 | 2020-02-13 |
| 1386281897 | Christycare,llc | Clinic/Center | 7262 Governors West Nw Ste 111, Huntsville, AL 35806-2378 | 2019-12-03 |
| 1962044131 | Still Waters Adult Day Facility | Clinic/Center | 700 Brantley St, Opp, AL 36467-1720 | 2019-10-09 |
| 1346766235 | Aging & Disabled Services, Inc. | Clinic/Center | 4122 Quail Tower Rd, Luverne, AL 36049-6119 | 2017-08-22 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1205295912 | Loving Hands Adult Day Care Center LLC | Clinic/Center | 4339 Pinson Valley Pkwy, Birmingham, AL 35215-8921 | 2016-02-23 |
| 1235470378 | Life Change | Clinic/Center | 9 Grant Cir, Pittsview, AL 36871-2516 | 2013-03-14 |
| 1275813743 | Mustard Seed Faith Cathedral | Clinic/Center | 633 Pinson Valley Pkwy, Birmingham, AL 35217-2923 | 2011-08-27 |
| 1457964769 | Helen's Place LLC | Clinic/Center | 151 Voekel Rd, Huntsville, AL 35811-9159 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | EIGHT MILE |
| Zip Code | 36613 |
Please comment or provide details below to improve the information on BLUE HAVEN ADULT CENTER.
| 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.