Blue Jays Loyal Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

BLUE JAYS LOYAL CARE LLC

Practice address

2125 Saint Charles Ave SW
Grand Rapids, MI 49507-2342

Phone

(616) 710-7837

Fax

(616) 245-8969

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Lavette McLaughlin de Leon

Title

Ceo

Phone

(616) 710-7837

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1982473310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SAINT CHARLES AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072342",
            "telephone_number": "616-710-7837",
            "fax_number": "616-245-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 SAINT CHARLES AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072342",
            "telephone_number": "616-710-7837",
            "fax_number": "616-245-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE JAYS LOYAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN DE LEON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-710-7837",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Blumenfeld, MD

• Home Health Aide in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.