Blue Hayven in Home Health Care LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

BLUE HAYVEN IN HOME HEALTH CARE LLC

Practice address

11553 Withersfield Dr
Saint Louis, MO 63138-1152

Phone

(314) 440-8087

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Nicole M Brock-Williams

Title

Director

Phone

(314) 440-8087

Specialties & licenses 3

Addresses

Other names 1

• Blue Hayven In Home Health Care LLC Other name

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1336439694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11553 WITHERSFIELD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381152",
            "telephone_number": "314-440-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11553 WITHERSFIELD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381152",
            "telephone_number": "314-440-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HAYVEN IN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "BROCK-WILLIAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-440-8087"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Hayven In Home Health Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Maintenance Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.