NPIMap

Organization Active NPI

Blueheart Adult Day Care Center

  • Assisted Living Facility
  • Lake Worth Beach, FL
National Provider Identifier
1740825801
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLUEHEART ADULT DAY CARE CENTER
Practice address
1917 Montague St
Lake Worth Beach, FL 33461-6057
Phone
(561) 352-9728
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Oletha Ednetta Blue, OWNERNPI 1427627496
Title
Owner
Phone
(561) 352-9728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1917 Montague St
Lake Worth Beach, FL 33461-6057

Mailing address

1917 Montague St
Lake Worth Beach, FL 33461-6057
Phone (561) 352-9728

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1740825801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 MONTAGUE ST",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334616057",
            "telephone_number": "561-352-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 MONTAGUE ST",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334616057",
            "telephone_number": "561-352-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEHEART ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "OLETHA",
        "authorized_official_middle_name": "EDNETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-352-9728",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.