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BLUE ROSE LEGACY HOME CARE LLC NPI 1194251736


NPI Information

NPI: 1194251736
Provider Name: BLUE ROSE LEGACY HOME CARE, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 03D2214092

Address:
7344 E GLACIER PARK CT
SAHUARITA, AZ
ZIP 85629
Phone: (520) 867-4082
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BLUE ROSE LEGACY HOME CARE, LLC is an in home supportive care in Sahuarita, AZ. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. BLUE ROSE LEGACY HOME CARE, LLC NPI is 1194251736. The provider is registered as an organization entity type.

The provider's business location address is:

7344 E GLACIER PARK CT
SAHUARITA, AZ
ZIP 85629-466
Phone: (520) 867-4082
Fax: (866) 207-2325

The provider's authorized official is Laura Boutilier-reed .
The authorized official title is Owner and has the following contact phone number (520) 867-4082.

The CLIA number assigned to this NPI record is 03D2214092 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2017 and was last updated on 5/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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