BLUE WATER SLEEP INC NPI 1174308290

NPI Information

  • NPI: 1174308290
  • Provider Name: BLUE WATER SLEEP INC
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Organization
  • Address: 5316 LAKESHORE RD
    FORT GRATIOT, MI
    ZIP 48059
  • Phone: (810) 357-8792

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NPI Details

BLUE WATER SLEEP INC is a home health registered nurse in Fort Gratiot, MI. BLUE WATER SLEEP INC NPI is 1174308290. The provider is registered as an organization entity type.

The provider's business location address is:

5316 LAKESHORE RD
FORT GRATIOT, MI
ZIP 48059-118
Phone: (810) 357-8792

The provider's authorized official is Jessica Heaney .
The authorized official title is Manager and has the following contact phone number (586) 524-5801.

The enumeration date for this NPI number is 8/28/2023 and was last updated on 11/12/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2101YM0800XCounselorMental HealthNo
3163WC1500XRegistered NurseCommunity HealthNo
4251J00000XNursing CareNo
5261Q00000XClinic/CenterNo
6372600000XAdult CompanionNo
7374U00000XHome Health AideNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9261QS1200XClinic/CenterSleep Disorder DiagnosticNo
10363LP2300XNurse PractitionerPrimary CareNo
11364SH0200XClinical Nurse SpecialistHome HealthNo
12385H00000XRespite CareNo
13163WH0200XRegistered NurseHome HealthYes

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: 11/21/2025

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