BLUE WATER SLEEP INC; NPI #1174308290

Contact Information

BLUE WATER SLEEP INC

5316 LAKESHORE RD
FORT GRATIOT TOWNSHIP, MI 48059-3118

Phone: 810-357-8792
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Home Health	163WH0200X
Adult Companion	372600000X
Clinic/Center	261Q00000X
Community Health	163WC1500X
Home Health	364SH0200X	89	Certified Clinical Nurse Specialist
Home Health Aide	374U00000X
In Home Supportive Care	253Z00000X
Mental Health	101YM0800X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Nursing Care	251J00000X
Primary Care	363LP2300X	50	Nurse Practitioner
Respite Care	385H00000X
Sleep Disorder Diagnostic	261QS1200X

Indicates primary specialty

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NPI Profile & details for BLUE WATER SLEEP INC

NPI Number	`1174308290`
LBN Legal business name	BLUE WATER SLEEP INC
Authorized official	JESSICA HEANEY - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/28/2023
Last updated	11/12/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BLUE WATER SLEEP INC

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NPI Profile & details for BLUE WATER SLEEP INC

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