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BLUE HILLS REST HOME INC. NPI 1750442026


NPI Information

NPI: 1750442026
Provider Name: BLUE HILLS REST HOME INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D0888840

Address:
2207 N BLUE MILLS RD
INDEPENDENCE, MO
ZIP 64058
Phone: (816) 796-3376
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BLUE HILLS REST HOME INC. is an assisted living facility in Independence, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BLUE HILLS REST HOME INC. NPI is 1750442026. The provider is registered as an organization entity type.

The provider's business location address is:

2207 N BLUE MILLS RD
INDEPENDENCE, MO
ZIP 64058-022
Phone: (816) 796-3376
Fax: (816) 796-5646

The provider's authorized official is Ethel Marie Dunham .
The authorized official title is Administrator and has the following contact phone number (816) 796-3376.

The CLIA number assigned to this NPI record is 26D0888840 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.


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
1310400000XAssisted Living Facility033489MISSOURIYes

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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