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BLUE WATER DEVELOPMENTAL HOUSING INC.
NPI 1073602835
Community/Behavioral Health in Marysville, MI

Active since October 12, 2006CLIA 23D2074510 · Waiver
1600 GRATIOT BLVD BLDG A, MARYSVILLE, MI 48040(810) 388-1200(810) 388-4272 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Blue Water Developmental Housing Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER DEVELOPMENTAL HOUSING INC. (NPI 1073602835) is a healthcare organization registered as a community/behavioral health in Marysville, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Kathleen Swantek, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073602835
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLUE WATER DEVELOPMENTAL HOUSING INC.
Location Address1600 GRATIOT BLVD BLDG AMarysville, MI 48040-1145
Mailing Address1600 Gratiot Blvd Bldg AMarysville, MI 48040-1145 · (810) 388-1200 · Fax (810) 388-4272
Phone(810) 388-1200
Fax(810) 388-4272
Organization SubpartNo
Authorized OfficialKathleen SwantekExecutive Director · (810) 388-1200
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073602835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1600 GRATIOT BLVD BLDG A, Marysville, MI 48040
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2074510

Blue Water Developmental Housing · Saint Clair, MI
Active · expires Mar 10, 2028
CLIA Number23D2074510
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorAndrea L. Bubel
Laboratory Phone(810) 388-1200
Laboratory LocationBlue Water Developmental Housing1362 River Road, Saint Clair, MI 48079
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Developmental Housing Inc.'s NPI number?

The NPI number for Blue Water Developmental Housing Inc. is 1073602835. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Blue Water Developmental Housing Inc. located?

Blue Water Developmental Housing Inc. is located at 1600 Gratiot Blvd Bldg A, Marysville, MI 48040. The listed phone number is (810) 388-1200.

What is Blue Water Developmental Housing Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Blue Water Developmental Housing Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2074510) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Water Developmental Housing Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.