NPIMap

Organization Active NPI

Visiting Nurse Association Health Services

Doing business as Blue Water Home Care & Hospice

  • Home Health Agency
  • Port Huron, MI
National Provider Identifier
1083601066
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VISITING NURSE ASSOCIATION HEALTH SERVICES
Doing business as
Blue Water Home Care & Hospice
Practice address
3403 Lapeer Road
BLDG B, Suite 101
Port Huron, MI 48060-2597
Phone
(810) 984-4131
Fax
(810) 984-0019
NPI assigned
Oct 4, 2005
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Angela Delaere
Title
President & Ceo
Phone
(586) 405-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

3403 Lapeer Road
BLDG B, Suite 101
Port Huron, MI 48060-2597

Mailing address

3403 Lapeer Rd Ste B101
Port Huron, MI 48060-3013
Phone (810) 984-4131

Other identifiers 2

IdentifierTypeStateIssuer
0E060OtherMIBCBS
4838823MedicaidMI

Other names 1

  • Blue Water Home Care & Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304000479 MI Part A Provider - Home Health Agency 3274426333 Practice locations: Port Huron, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083601066. Details of each certification follow.

Home health agency certification: CCN 237059

Legal name
VISITING NURSE ASSOCIATION HEALTH SERVICES
Doing business as
BLUE WATER HOME CARE & HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 1, 1971
Last certification
Sep 17, 2015
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
3403 Lapeer Rd
Ste B101
Port Huron, MI 48060-3013
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vna Home Health CareCCN 237059 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Mar 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Visiting Nurse Association Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Kelly Paul Individual Contracted Managing EmployeeMD; Dec 10, 2024
Stephen Fisher Individual W-2 Managing EmployeeDirector of Finance Jun 1, 2025 25%
Amanda a Biskner Individual Corporate DirectorBoard Member Mar 1, 2023 9.1%
Linda G McGrath Individual Corporate DirectorBoard Treasurer May 22, 2019 9.1%
Theodore Barss Individual Corporate DirectorBoard Member May 1, 2024 9.1%
Paula R Carnaghi Individual Corporate DirectorBoard Member Aug 4, 2021 9.1%
James R Currier Individual Corporate DirectorBoard Chair Oct 26, 2021 9.1%
Daniel S Kilbourne Individual Corporate DirectorBoard Member May 1, 2024 9.1%
Angela R Delaere Individual Corporate OfficerPresident/Ceo Apr 30, 2022 100%
W-2 Managing EmployeePresident/Ceo Apr 30, 2022 50%
Operational/Managerial ControlPresident/Ceo Apr 30, 2022 100%
Jessica L Whitley Individual W-2 Managing EmployeeVP of Clinical Operations Feb 11, 2022 25%
Laura a Godwin Individual Corporate DirectorBoard Vice Chair Feb 6, 2019 9.1%
Brian Kerrigan Individual Corporate DirectorBoard Member Apr 22, 2026 9.1%
Kristina L Fraley Individual Corporate DirectorBoard Member Dec 4, 2019 9.1%
Ashleigh M Sprowl Individual Corporate DirectorBoard Member May 1, 2024 9.1%
Teresa M O'Donnell Individual Corporate DirectorBoard Secretary Mar 1, 2023 9.1%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1083601066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 LAPEER RD STE B101",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603013",
            "telephone_number": "810-984-4131",
            "fax_number": "877-910-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 LAPEER ROAD",
            "address_2": "BLDG B, SUITE 101",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602597",
            "telephone_number": "810-984-4131",
            "fax_number": "810-984-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "DELAERE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "586-405-8116"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E060",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4838823",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Water Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.