BLUE WATER HOME HEALTH INC (NPI# 1811463896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811463896 |
| Entity Type | Organization |
| Organization Name | BLUE WATER HOME HEALTH INC |
| Practice Address |
10568 Magnolia Ave Ste 122 Anaheim CA 92804-5864 |
| Practice Telephone | 7147161305 |
| Practice Fax Number | 7147161385 |
| Mailing Telephone | 7147161305 |
| Mailing Fax Number | 7147161385 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | MR. REZA RYAN MOHAMMED (CEO) |
| Authorized Official Telephone | 7147161305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
10568 MAGNOLIA AVE STE 122 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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 |
|---|---|---|---|---|
| 1417574674 | Scn Home Care Services, Inc | Home Health | 9778 Katella Ave, Anaheim, CA 92804-6460 | 2020-07-02 |
| 1932746120 | Home Not Alone Caregiver Services Inc | Home Health | 1781 S Campton Ave Unit 224, Anaheim, CA 92805-6753 | 2019-12-06 |
| 1770135196 | Cmbp Holdings Inc. | Home Health | 1260 N Hancock St Ste 102d, Anaheim, CA 92807-1951 | 2019-07-16 |
| 1457916819 | Al-shifa Home Health Care Agency | Home Health | 501 N Brookhurst St Ste 300a, Anaheim, CA 92801-5204 | 2019-05-01 |
| 1356807820 | Origins Home Health Care Plus Inc | Home Health | 137 1/2 S Knott Ave, Anaheim, CA 92804-1406 | 2019-02-20 |
| 1245796945 | California Nursing Solutions | Home Health | 5325 E Bergh Dr, Anaheim, CA 92807-3136 | 2019-02-18 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1043787583 | Fortitude Home Health, Inc | Home Health | 520 N Brookhurst St Ste 134, Anaheim, CA 92801-5235 | 2018-11-01 |
| 1588158893 | Life Hospice, Inc. | Home Health | 5101 E La Palma Ave Ste 100p, Anaheim, CA 92807-2056 | 2018-06-20 |
| 1609388446 | The Loving Care, LLC | Home Health | 1673 W Chanticleer Rd, Anaheim, CA 92802-2157 | 2017-11-02 |
| Find all providers in ANAHEIM | ||||
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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.