Blue Lagoon Therapy & Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUE LAGOON THERAPY & SERVICES, LLC

Practice address

2353 S Lachance Rd
Lake City, MI 49651-8024

Phone

(231) 779-4671

Fax

(231) 779-4038

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Esther E Nederhood, RN

Title

RN

Phone

(231) 779-4671

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1144584038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 S LACHANCE RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496518024",
            "telephone_number": "231-779-4671",
            "fax_number": "231-779-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 S LACHANCE RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496518024",
            "telephone_number": "231-779-4671",
            "fax_number": "231-779-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LAGOON THERAPY & SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "NEDERHOOD",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "231-779-4671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lake City, MI
• Providers in Lake City, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.