Organization Active NPI

Blue Water Endeavors, Inc.

  • Home Health Agency
  • Hawthorne, CA
National Provider Identifier
1689816050
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLUE WATER ENDEAVORS, INC.
Practice address
13405 Inglewood Avenue
Suite 6
Hawthorne, CA 90254
Phone
(310) 263-7185
Fax
(310) 263-7232
NPI assigned
Apr 1, 2009
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Mrs. Rea Ricafort, REGISTERED NURSE
Title
President
Phone
(310) 263-7185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13405 Inglewood Avenue
Suite 6
Hawthorne, CA 90254

Mailing address

13405 Inglewood Ave Ste 6
Hawthorne, CA 90250-5646
Phone (310) 263-7185

National Provider Directory

National Provider Directory

Locations

13405 Inglewood Ave
Ste 6
Hawthorne, CA 90250
Phone (310) 263-7140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1689816050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 INGLEWOOD AVE STE 6",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505646",
            "telephone_number": "310-263-7185",
            "fax_number": "310-263-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 INGLEWOOD AVENUE",
            "address_2": "SUITE 6",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90254",
            "telephone_number": "310-263-7185",
            "fax_number": "310-263-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER ENDEAVORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "RICAFORT",
        "authorized_official_first_name": "REA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-263-7185",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.