BLUE WATER DEVELOPMENTAL HOUSING
NPI 1255769345
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Marysville, MI
NPI Status: Active since October 29, 2013
Contact Information
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
Phone: (810) 388-1200
- Organization
- Respite Care
- Respite Care, Intellectual and/or Develo...
- CLIA Number: 23D1037189
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 02-16-2027
About BLUE WATER DEVELOPMENTAL HOUSING
This page provides the complete NPI Profile along with additional information for Blue Water Developmental Housing, a provider established in Marysville, Michigan operating as a Respite Care, focusing in respite care, intellectual and/or developmental disabilities . The healthcare provider is registered in the NPI registry with number 1255769345 assigned on October 2013. The practitioner's primary taxonomy code is 385HR2060X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Becky Mcfarlane (Supervisor)
- NPI
- 1255769345
- Provider Name
- BLUE WATER DEVELOPMENTAL HOUSING
- Entity Type
- Organization
- Location Address
- 1600 GRATIOT BLVD MARYSVILLE, MI 48040
- Location Phone
- (810) 388-1200
- Mailing Address
- 305 12TH ST PORT HURON, MI 48060
- Mailing Phone
- (810) 388-1200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-29-2013
- Last Update Date
- 10-29-2013
- Code Navigator
Location Map
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
Respite Care Respite Care, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 385HR2060X
- Type
- Respite Care Facility
- Taxonomy Description
- A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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
- 23D1037189
- Facility Type
- Community Clinic
- Certificate Effective Date
- February 17, 2025
- Certificate Expiration Date
- February 16, 2027
- Laboratory Director
- JENNIFER ROSE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Blue Water Developmental Housing 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 1255769345, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255769345, enumerated as an "organization" on October 29, 2013.
The provider is located at 1600 GRATIOT BLVD MARYSVILLE, MI 48040 and the phone number is (810) 388-1200.
Respite Care with taxonomy code 385HR2060X and a focus in Respite Care, Intellectual and/or Developmental Disabilities.