Blue Water Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUE WATER HOME HEALTH CARE, INC.

Practice address

34051 Gratiot Ave
Suite 103
Clinton TWP., MI 48035-3592

Phone

(586) 415-7700

Fax

(586) 415-7800

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shahid Munir

Title

Owner (President)

Phone

(586) 415-7700

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1487600102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34051 GRATIOT AVE.",
            "address_2": "SUITE 103",
            "city": "CLINTON TWP.",
            "state": "MI",
            "postal_code": "480353592",
            "telephone_number": "586-415-7700",
            "fax_number": "586-415-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34051 GRATIOT AVE",
            "address_2": "SUITE 103",
            "city": "CLINTON TWP.",
            "state": "MI",
            "postal_code": "480353592",
            "telephone_number": "586-415-7700",
            "fax_number": "586-415-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "MUNIR",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "OWNER (PRESIDENT)",
        "authorized_official_telephone_number": "586-415-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lucas Bogan, PTA
• Renette Bogden

• Home Health Agency in Clinton TWP., MI
• Providers in Clinton TWP., 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 Jul 23, 2015; 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.