Blue Wake, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

APPLIED FOR Issued in TX

Legal business name

BLUE WAKE, INC

Doing business as

Procura Home Health

Practice address

309 Dunkeld Dr
Spicewood, TX 78669-2154

Phone

(512) 264-3153

Fax

(512) 264-3401

NPI assigned

Aug 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Leslie

Title

President

Phone

(512) 264-3153

Specialties & licenses 1

Addresses

Other names 1

• PROCURA HOME HEALTH Doing business as

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730198805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 DUNKELD DR",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786692154",
            "telephone_number": "512-264-3153",
            "fax_number": "512-264-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 DUNKELD DR",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786692154",
            "telephone_number": "512-264-3153",
            "fax_number": "512-264-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WAKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-264-3153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROCURA HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Spicewood, TX
• Providers in Spicewood, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.