BLUE HAYVEN IN-HOME HEALTH CARE (NPI# 1922335926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922335926 |
| Entity Type | Organization |
| Organization Name | BLUE HAYVEN IN-HOME HEALTH CARE |
| Practice Address |
11553 Withersfield Dr Saint Louis MO 63138-1152 |
| Practice Telephone | 3143956121 |
| Practice Fax Number | 3143956121 |
| Mailing Telephone | 3143956121 |
| Mailing Fax Number | 3143956121 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |
| Authorized Official Name | MRS. NICOLE BROCK-WILLIAMS (OWNER) |
| Authorized Official Telephone | 3143956121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
11553 WITHERSFIELD DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63138-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336439694 | Blue Hayven In Home Health Care LLC | Health Maintenance Organization | 11553 Withersfield Dr, Saint Louis, MO 63138-1152 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856396 | D&n Services | Registered Nurse | 1891 Arrowpoint Dr, St Louis, MO 63138 | 2019-11-21 |
| 1902468747 | Sincere Home Health Services | Home Health | 1313 Columbus Dr., Saint Louis, MO 63138 | 2019-07-02 |
| 1053899153 | Nadiyah L Brandon | Driver | 1841 Arrow Point Dr, Saint Louis, MO 63138 | 2018-07-31 |
| 1518489186 | Laconte Randle | Nurse Practitioner | 1225 Lakeview Ave, Saint Louis, MO 63138 | 2017-07-14 |
| 1811369499 | Tyler Musto | Dentist | 120000 Bellefontaine, St. Louis, MO 63138 | 2015-10-22 |
| 1346627106 | Family United Adult Day Center, LLC | Clinic/Center | 12444 Lusher Road, Saint Louis, MO 63138 | 2015-04-30 |
| 1629340765 | Samuel Mugwe Kimari | Specialist | 11838 Orletto Way, St.louis, MO 63138 | 2012-02-06 |
| 1447536453 | Cignodental Care LLP | Dentist | 12000 Bellefontaine, Saint Louis, MO 63138 | 2011-10-24 |
| 1255515995 | Timothy A Schaible Dmd PC | Dentist | 1544 Sierra Vista Plaza, St Louis, MO 63138 | 2007-12-18 |
| 1750406948 | Life Development Support Centers | Day Training, Developmentally Disabled Services | 12259-61 Bellefontaine Road, Saint Louis, MO 63138 | 2007-03-20 |
| Find all providers in zip 63138 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116492 | Green Park Leasing Co., LLC | Residential Treatment Facility, Physical Disabilities | 9350 Green Park Rd, Saint Louis, MO 63123-7211 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518367614 | Healn Heart Home Healthcare Inc | Residential Treatment Facility, Physical Disabilities | 2047 S Swope Dr, Apt C, Independence, MO 64057-1003 | 2014-08-26 |
| 1891103404 | Karing Homes LLC | Residential Treatment Facility, Physical Disabilities | 6139 Forest Ave, Kansas City, MO 64110-3427 | 2014-07-28 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1558659466 | Heritage Hills LLC | Residential Treatment Facility, Physical Disabilities | Po Box B, Patton, MO 63662-0010 | 2011-07-12 |
| 1790940989 | Barefootboy LLC | Residential Treatment Facility, Physical Disabilities | 723 S Scenic Ave, 723 S.scenic, Springfield, MO 65802-5042 | 2008-07-28 |
| 1285787002 | Bliss Manor, Inc. | Residential Treatment Facility, Physical Disabilities | 2929 Lafayette St, Saint Joseph, MO 64507-1615 | 2007-01-18 |
| 1326119553 | Hickory Hills Residential Care | Residential Treatment Facility, Physical Disabilities | 935 Spartan Ln, Foristell, MO 63348-1022 | 2006-11-10 |
| 1568541886 | Shalimar Corp | Residential Treatment Facility, Physical Disabilities | 2732 Bloomfield Rd, Cape Girardeau, MO 63703-6302 | 2006-11-06 |
| 1437130747 | Flo-gp Leasing Co., LLC | Residential Treatment Facility, Physical Disabilities | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2005-11-14 |
| 1508311747 | N & R of Maryville LLC | Residential Treatment Facility, Physical Disabilities | 524 N Laura St, Maryville, MO 64468-1955 | 2016-08-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63138 |
Please comment or provide details below to improve the information on BLUE HAYVEN IN-HOME HEALTH CARE.
| 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.