Organization Active NPI

Blue Water Home Help LLC

  • In Home Supportive Care Agency
  • Sterling Heights, MI
National Provider Identifier
1003658501
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUE WATER HOME HELP LLC
Practice address
2972 Groves Dr
Sterling Heights, MI 48310-3630
Phone
(313) 268-9060
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monwara Rahman
Title
President
Phone
(313) 268-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2972 Groves Dr
Sterling Heights, MI 48310-3630

Mailing address

2972 Groves Dr
Sterling Heights, MI 48310-3630

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1003658501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 GROVES DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 GROVES DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103630",
            "telephone_number": "313-268-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER HOME HELP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MONWARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-268-9060"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.