BLUE HAYVEN FOUNDATION NPI 1518121128

NPI Information

  • NPI: 1518121128
  • Provider Name: BLUE HAYVEN FOUNDATION
  • Classification: Respite Care - 385HR2060X
  • Specialization: Respite Care, Intellectual and/or Developmental Disabilities
  • Entity Type: Organization
  • Former Legal Business Name: NONE AT THIS TIME
  • Address: 36 JULIE LN
    SAINT PETERS, MO
    ZIP 63376
  • Phone: (314) 440-8087

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NPI Details

BLUE HAYVEN FOUNDATION is a respite care and mental retardation and/or developmental disabilities respite care in Saint Peters, MO. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. BLUE HAYVEN FOUNDATION NPI is 1518121128. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is None At This Time.

The provider's business location address is:

36 JULIE LN
SAINT PETERS, MO
ZIP 63376-147
Phone: (314) 440-8087
Fax: (314) 395-6121

The provider's authorized official is Nicole Micheele Brock-williams .
The authorized official title is Director and has the following contact phone number (314) 440-8087.

The enumeration date for this NPI number is 7/12/2008 and was last updated on 7/12/2008.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesYes

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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