BLUEH IV HEALTH SERVICES PLLC
NPI 1134730864
General Practice in Charlotte, NC

Active since August 14, 2020
9625 DAVID TAYLOR DR, CHARLOTTE, NC 28262(704) 942-8281(352) 554-5073 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2020, Aug 28, 2020, Aug 14, 2020 (3 updates tracked since 2020).

About Blueh Iv Health Services Pllc NPPES

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

BLUEH IV HEALTH SERVICES PLLC (NPI 1134730864) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since August 2020. The organization lists La Toya Dawson, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1134730864
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUEH IV HEALTH SERVICES PLLC
Location Address9625 DAVID TAYLOR DRCharlotte, NC 28262-2362
Mailing Address3208 Grandeur RdCharlotte, NC 28269-3217
Fax(352) 554-5073
Organization SubpartNo
Authorized OfficialLa Toya DawsonBilling Director · (352) 231-7551
Enumeration DateAugust 14, 2020
Last NPPES UpdateSeptember 21, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
NPI 1134730864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
9625 DAVID TAYLOR DR, Charlotte, NC 28262

Other Identifiers 1

Medicaid1336556414NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
9625 DAVID TAYLOR DR
CHARLOTTE, NC 28262
Counselor (Professional)
9625 DAVID TAYLOR DR
CHARLOTTE, NC 28262
Community Based Residential Treatment Facility, Mental Illness
9625 DAVID TAYLOR DR
CHARLOTTE, NC 28262
In Home Supportive Care
9625 DAVID TAYLOR DR
CHARLOTTE, NC 28262

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 Blueh IV Health Services PLLC's NPI number?

The NPI number for Blueh IV Health Services PLLC is 1134730864. It was assigned to this organization in the NPPES registry on August 14, 2020.

Where is Blueh IV Health Services PLLC located?

Blueh IV Health Services PLLC is located at 9625 David Taylor Dr, Charlotte, NC 28262. The listed phone number is (704) 942-8281.

What is Blueh IV Health Services PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Blueh IV Health Services PLLC was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.