BLUE WATER ENDEAVORS, INC.


Address: 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254
Phone: 3102637185

BLUE WATER ENDEAVORS, INC. (NPI# 1689816050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689816050
Entity Type Organization
Organization Name BLUE WATER ENDEAVORS, INC.
Practice Address 13405 Inglewood Avenue
Suite 6
Hawthorne
CA 90254
Mailing Address 13405 Inglewood Ave Ste 6
Hawthorne
CA 90250-5646
Practice Telephone 3102637185
Practice Fax Number 3102637232
Mailing Telephone 3102637185
Mailing Fax Number 3102637232
Enumeration Date 2009-04-01
Last Update Date 2009-04-01
Authorized Official Name MRS. REA RICAFORT (PRESIDENT)
Authorized Official Telephone 3102637185
Authorized Official Credential REGISTERED NURSE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Office Location

Street Address 13405 INGLEWOOD AVENUE
SUITE 6
City HAWTHORNE
State CA
Zip Code 90254

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1124598750 Maria Inaty Behavioral Analyst 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 2018-11-27
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1588916506 Layla Olive Speech-Language Pathologist 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 2012-10-15
1588894307 Linda E. Brochert-saker Marriage & Family Therapist 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 2009-07-15
1043408420 Brandon Hyatt Marriage & Family Therapist 263 27th Court, Hermosa Beach, CA 90254 2007-10-10
1518087998 Mark Lawrence Hurrell Marriage & Family Therapist 2200 Pacific Coast Highway, Suite 304a, Hermosa Beach, CA 90254 2007-03-30
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447637368 Mosheahomecare Home Health 12219 Hawthorne Blvd, Suite # 202, Hawthorne, CA 90250-3807 2015-04-29
1841694536 South Bay Home Health Agency, Inc Home Health 13633 Inglewood Ave, Hawthorne, CA 90250-5610 2014-10-09
1861673220 California Healthcare Services Home Health 13658 Hawthorne Blvd, Suite 200a, Hawthorne, CA 90250-5824 2007-11-14
1861686610 Tender Loving Touch Home Health, Inc. Home Health 12517 Crenshaw Blvd, Hawthorne, CA 90250-3302 2007-09-04
1356547996 Caring Solutions Home Care, LLC Home Health 238 Goffle Rd, Hawthorne, NJ 07506-3605 2007-06-21
1770609752 Always There Inc Home Health 383 Lafayette Avenue, Hawthorne, NJ 07506 2007-03-22
1508927617 Isocare Medical Extenders Services Inc. Home Health 13527 Hawthorne Blvd, Hawthorne, CA 90250 2006-12-12
1861451841 Gidda's Home Health Services, Inc. Home Health 13351 Hawthorne Blvd, Hawthorne, CA 90250-5802 2006-03-20
1689672503 Angels Healing Home Health Care Corp Home Health 13663 Prairie Ave, Suite D, Hawthorne, CA 90250-7372 2005-07-13
1124025119 Always Stay Home Nursing Service Home Health 11633 Hawthorne Blvd, Suite 220, Hawthorne, CA 90250-2321 2005-07-05
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Competitor

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City HAWTHORNE
Zip Code 90254

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Dataset Information

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.

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