Blueberry Hill Senior Living, Inc.

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

BLUEBERRY HILL SENIOR LIVING, INC.

Practice address

3827 Olive LN
Carmichael, CA 95608-2732

Phone

(916) 801-8589

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Megan Hamric

Title

Owner

Phone

(916) 801-8589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1013513597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 OLIVE LN",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082732",
            "telephone_number": "916-801-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 OLIVE LN",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082732",
            "telephone_number": "916-801-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBERRY HILL SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "HAMRIC",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-801-8589"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Black, MD
• Gregory Blair, M.D.
• Beth Blakely, D.C.
• Kellie Blevins
• Sharon Blevins
• Benjamin Evan Bluth, M.D.
• Joanna Malgorzata Bodas, M.S, CCC-SLP
• Shannon M Boddy, OTR/L
• Adina Alexandra Bodolan, M.D.
• Boies Medical Center Pharmacy Inc (Optimal Pharmacy)

• Attendant Care Provider in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.