BLUE LAGOON THERAPY & SERVICES, LLC (NPI# 1144584038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144584038 |
| Entity Type | Organization |
| Organization Name | BLUE LAGOON THERAPY & SERVICES, LLC |
| Practice Address |
2353 S Lachance Rd Lake City MI 49651-8024 |
| Practice Telephone | 2317794671 |
| Practice Fax Number | 2317794038 |
| Mailing Telephone | 2317794671 |
| Mailing Fax Number | 2317794038 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |
| Authorized Official Name | MRS. ESTHER E NEDERHOOD (RN) |
| Authorized Official Telephone | 2317794671 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2353 S LACHANCE RD |
| City | LAKE CITY |
| State | MI |
| Zip Code | 49651-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821465410 | Belle Oakes Living Center, Inc | Custodial Care Facility | 2353 S Lachance Rd, Lake City, MI 49651-8024 | 2015-08-31 |
| 1396160412 | Lake To Lake Transportation LLC | Non-emergency Medical Transport (VAN) | 2353 S Lachance Rd, Lake City, MI 49651-8024 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463312 | Andrea Huxtable | Student in an Organized Health Care Education/Training Program | 1800-200 S Sweetbriar Ave, Lake City, MI 49651 | 2020-03-26 |
| 1316482300 | Suzanne Smith | Massage Therapist | 102 B S. Main St, Lake City, MI 49651 | 2016-12-29 |
| 1184960734 | Shanel Lynette Seger | Occupational Therapy Assistant | 1900 S Lachance Road, Lake City, MI 49651 | 2012-12-28 |
| 1265705347 | David Robert Kramp | Physical Therapist | 1900 South Lachance Rd, Lake City, MI 49651 | 2012-02-20 |
| 1396072708 | Footprints In Time | Voluntary or Charitable | 805 Mitchell St., Lake City, MI 49651 | 2009-11-05 |
| 1184895336 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1960 South Morey Road, Lake City, MI 49651 | 2008-03-17 |
| 1396965752 | Chris Klein Otr Plc | Occupational Therapist | 805 Mitchell St, Lake City, MI 49651 | 2007-04-26 |
| 1033253133 | John Street Clinic PC | Pediatrics | 112 E John St, Lake City, MI 49651 | 2007-02-20 |
| 1659435287 | Michael Francis Lahey | Dentist | 301 N Main, Lake City, MI 49651 | 2006-12-20 |
| 1215019781 | Christine Louise Klein | Occupational Therapist | 805 Mitchell, Lake City, MI 49651 | 2006-10-20 |
| Find all providers in zip 49651 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777345 | Concierge Home Care of Lake City LLC | Home Health | 301 Nw Cole Ter Ste 105, Lake City, FL 32055-9302 | 2020-10-14 |
| 1699382549 | Grace and Mercy Home Health Lc | Home Health | 2370 Green Rd, Lake City, SC 29560-5483 | 2020-09-24 |
| 1659986610 | Andrea Graham | Home Health | 109 S Acline St, Lake City, SC 29560-2632 | 2020-09-15 |
| 1710537501 | All Quality Health Care Agency, LLC | Home Health | 119 N Mcallister St, Lake City, SC 29560-2421 | 2019-09-13 |
| 1003325580 | Missaukee County Commission On Aging | Home Health | 1980 S Morey Rd, Lake City, MI 49651-9380 | 2017-09-27 |
| 1821442021 | Cornerstone District 3 LLC | Home Health | 484 Sw Commerce Dr Ste 130, Lake City, FL 32025-1588 | 2016-04-14 |
| 1740597400 | Housecall Home Health, LLC | Home Health | 461 Sw Main Blvd, Lake City, FL 32025-5268 | 2010-09-01 |
| 1427206481 | 3d Providers Corporation | Home Health | 144 Sw Waterford Ct, Suite 101, Lake City, FL 32025-0767 | 2008-09-03 |
| 1669406377 | Gentiva Health Services (certified), Inc. | Home Health | 419 Sw State Road 247 Ste 109, Lake City, FL 32025-8318 | 2006-07-10 |
| 1902853708 | Omni Home Health- Hernando, LLC | Home Health | 1037 W Us Highway 90, Suite 140, Lake City, FL 32055-3739 | 2006-05-27 |
| Find all providers in LAKE CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.