BLUE ROSE LEGACY HOME CARE, LLC
NPI 1194251736
In Home Supportive Care in Sahuarita, AZ

NPI Status: Active since May 02, 2017

Contact Information

7344 E GLACIER PARK CT
SAHUARITA, AZ
ZIP 85629
Phone: (520) 867-4082
Fax: (866) 207-2325

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  • Organization
  • In Home Supportive Care
  • CLIA Number: 03D2214092
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 02-17-2027

About BLUE ROSE LEGACY HOME CARE, LLC

This page provides the complete NPI Profile along with additional information for Blue Rose Legacy Home Care, Llc, a provider established in Sahuarita, Arizona operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1194251736 assigned on May 2017. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Laura Boutilier-reed (Owner)

NPI
1194251736
Provider Name
BLUE ROSE LEGACY HOME CARE, LLC
Entity Type
Organization
Location Address
7344 E GLACIER PARK CT SAHUARITA, AZ 85629
Location Phone
(520) 867-4082
Location Fax
(866) 207-2325
Mailing Address
PO BOX 1442 SAHUARITA, AZ 85629
Mailing Phone
(520) 867-4082
Mailing Fax
(866) 207-2325
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2017
Last Update Date
05-02-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAURA BOUTILIER-REED

Authorized Official Title
OWNER
Authorized Official Phone
(520) 867-4082

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2214092
Facility Type
Assisted Living Facility
Certificate Effective Date
February 18, 2025
Certificate Expiration Date
February 17, 2027
Laboratory Director
LAURA REED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blue Rose Legacy Home Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194251736, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 4 + 5 + 2 + 7 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1194251736.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Non-emergency Medical Transport (VAN)
7344 E GLACIER PARK CT
SAHUARITA, AZ 85629

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194251736, enumerated as an "organization" on May 02, 2017.

The provider is located at 7344 E GLACIER PARK CT SAHUARITA, AZ 85629 and the phone number is (520) 867-4082.

In Home Supportive Care with taxonomy code 253Z00000X.