Blue Care Opco Maquoketa, LLC

Key facts

NPI

1013652247

Entity type

Organization (NPI type 2)

Primary specialty

Nursing Facility/Intermediate Care Facility 313M00000X

Legal business name

BLUE CARE OPCO MAQUOKETA, LLC

Practice address

1015 Wesley Dr
Maquoketa, IA 52060-2637

Phone

(732) 637-9191

NPI assigned

May 2, 2022

Organization subpart

No

Authorized official

Name

Shmeul Haikins

Title

Owner

Phone

(732) 637-9191

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2022.

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1013652247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 AIRPORT RD # S206",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WESLEY DR",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602637",
            "telephone_number": "732-637-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CARE OPCO MAQUOKETA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "HAIKINS",
        "authorized_official_first_name": "SHMEUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-637-9191"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maquoketa, IA

• Debra Lynn Aunan, RPH
• Deborah Kay Bahe, ARNP
• Mary Anne Baker, PT
• Bear Creek Therapy PLLC
• Become PLLC
• Erica Borgerding
• Leanne Bowman
• N Jean Brownson, MSW, LISW
• Bruce a D'Agostino DDS PC
• Tammy Sue Bullock, PHARMD

All providers in Maquoketa, IA · Nursing Facility/Intermediate Care Facility in Iowa