BLUE HAVEN OUTREACH SERVICES NPI 1780572651

NPI Information

NPI: 1780572651
Provider Name: BLUE HAVEN OUTREACH SERVICES
Classification: Home Health - 251E00000X
Entity Type: Organization
Address: 1832 SAND HILL RD
HOPE MILLS, NC
ZIP 28348
Phone: (910) 785-0519

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NPI Details

BLUE HAVEN OUTREACH SERVICES is a home health in Hope Mills, NC. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. BLUE HAVEN OUTREACH SERVICES NPI is 1780572651. The provider is registered as an organization entity type.

The provider's business location address is:

1832 SAND HILL RD
HOPE MILLS, NC
ZIP 28348-587
Phone: (910) 785-0519

The provider's authorized official is Lakesia April Samoan Chance .
The authorized official title is Owner and has the following contact phone number (910) 785-0519.

The enumeration date for this NPI number is 6/27/2025 and was last updated on 6/27/2025.

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	Primary
1	251G00000X	Hospice Care, Community Based		No
2	251S00000X	Community/Behavioral Health		No
3	253Z00000X	In Home Supportive Care		No
4	311ZA0620X	Custodial Care Facility	Adult Care Home	No
5	342000000X	Transportation Network Company		No
6	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
7	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
8	343900000X	Non-emergency Medical Transport (VAN)		No
9	347C00000X	Private Vehicle		No
10	385H00000X	Respite Care		No
11	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
12	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
13	251C00000X	Day Training, Developmentally Disabled Services		No
14	177F00000X	Lodging		No
15	251E00000X	Home Health		Yes

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: 3/30/2025

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