Michael De'Aunte Blue Sr.

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

812306467 Issued in OH

Practice address

3781 Monticello Blvd
Cleveland HTS, OH 44121-1846

Phone

(216) 777-0226

NPI assigned

Apr 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1497109029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 MONTICELLO BLVD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441211846",
            "telephone_number": "216-777-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 MONTICELLO BLVD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441211846",
            "telephone_number": "216-777-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "MICHAEL",
        "middle_name": "DE'AUNTE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "812306467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joetta S Benison
• Bettye Bess Critics Choice
• Kenisha Bey
• Latisha Blade, STNA
• Darrell Blanton
• Chanell Bonner
• Luvedia T Bonner
• Elaine Leatrice Bradfordt
• Sierra Brickers
• Barbara A Briggs

• Home Health Aide in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.