Blue Water Developmental Housing

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

BLUE WATER DEVELOPMENTAL HOUSING

Practice address

1600 Gratiot Blvd
Marysville, MI 48040-1145

Phone

(810) 388-1200

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Becky McFarlane

Title

Supervisor

Phone

(810) 388-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1255769345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 12TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604315",
            "telephone_number": "810-388-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GRATIOT BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401145",
            "telephone_number": "810-388-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER DEVELOPMENTAL HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "MCFARLANE",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "810-388-1200"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia Jewel Bennett
• Jakalah Bertha Berry
• Cortney A Biskner
• Ashley Bletch
• Savannah Isabelle Bloink
• Blue Water Developmental Housing
• Blue Water Developmental Housing
• Blue Water Developmental Housing Inc.
• Blue Water Urgent Care Marysville
• Ashley Ann Bolsby

• Child Intellectual and/or Developmental Disabilities Respite Care in Marysville, MI
• Providers in Marysville, MI by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.