Bluestone Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUESTONE CARE, LLC

Practice address

7625 Cottonwood Dr
Jenison, MI 49428-7317

Phone

(616) 228-4495

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Man Li Gao-Rotman

Title

Owner/President

Phone

(616) 228-4495

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1942965231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 COTTONWOOD DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287317",
            "telephone_number": "616-228-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 COTTONWOOD DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287317",
            "telephone_number": "616-228-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "GAO-ROTMAN",
        "authorized_official_first_name": "MAN LI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "616-228-4495"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Elizabeth Bennett, R.D
• James L. Berghorst, D.D.S.
• Gracie Bernardine
• Madison Beversluis
• Jeremy Bissett
• Nancy Boersen, RN
• Denise Ann Boldt
• Terry Joe Bonebrake, CARE MANAGER/QIDP
• Elisabeth Leigh Boot, M.A. CCC-SLP
• Douglas Paul Borst, DDS

• All providers in Jenison, MI
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.