Organization Active NPI

Bleu Lotus 360 LLC

  • Clinic/Center
  • Bourbonnais, IL
National Provider Identifier
1447988803
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLEU LOTUS 360 LLC
Practice address
1600 N State Route 50 Ste 726
Bourbonnais, IL 60914-9314
Phone
(815) 585-6669
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Ms. Machada Allayna Cureton, MACHADA CURETON
Title
RN
Phone
(773) 739-6024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1600 N State Route 50 Ste 726
Bourbonnais, IL 60914-9314

Mailing address

122 S Michigan Ave Ste 1390
Chicago, IL 60603-6036
Phone (773) 739-6024

National Provider Directory

National Provider Directory

Locations

1600 N State Route 50
Ste 726A
Bourbonnais, IL 60914
Phone (815) 585-6669

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1447988803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036036",
            "telephone_number": "773-739-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N STATE ROUTE 50 STE 726",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149314",
            "telephone_number": "815-585-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEU LOTUS 360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "CURETON",
        "authorized_official_first_name": "MACHADA",
        "authorized_official_middle_name": "ALLAYNA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "773-739-6024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MACHADA CURETON"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.