Blue Water Center for Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLUE WATER CENTER FOR INDEPENDENT LIVING

Practice address

310 Water St
Port Huron, MI 48060-5431

Phone

(810) 987-9337

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Brown

Title

Clinical Director

Phone

(810) 987-9337

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Abernathy, LMSW

  • Clinical Social Worker
  • Port Huron, MI
  • NPI 1033281233
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1083790810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605431",
            "telephone_number": "810-987-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "810-987-9337"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Alexander Bliss, RN
• Carol Ann Bloink
• Jeanette Joy Bloink, RN
• Blue Water ASC LLC (Blue Water Surgery Center, LLC)
• Blue Water Center for Christian Counseling P.C.
• Blue Water Dental Group Port Huron P.C.
• Blue Water Eye Care Associates PC
• Blue Water Internal Medicine, PC
• Blue Water Medical Massage PLLC
• Blue Water Medical PLLC

• Case Management Agency in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.