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BLUE WATER HOSPICE INC NPI 1821488339


NPI Information

NPI: 1821488339
Provider Name: BLUE WATER HOSPICE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
12361 LEWIS ST STE 201
GARDEN GROVE, CA
ZIP 92840
Phone: (657) 465-5381
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BLUE WATER HOSPICE INC is a hospice care community based in Garden Grove, CA. BLUE WATER HOSPICE INC NPI is 1821488339. The provider is registered as an organization entity type.

The provider's business location address is:

12361 LEWIS ST STE 201
GARDEN GROVE, CA
ZIP 92840-617
Phone: (657) 465-5381
Fax: (657) 465-5382

The provider's authorized official is Benjamin Cabrera .
The authorized official title is Owner and has the following contact phone number (310) 220-1499.

The enumeration date for this NPI number is 2/4/2015 and was last updated on 4/26/2023.


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
1251G00000XHospice Care, Community BasedYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.