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 12 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.
Reviews for BLUE WATER DEVELOPMENTAL HOUSING
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 7 | 6 | 9 | 3 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 14 | 6 | 18 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 4 + 6 + 1 + 8 + 3 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1255769345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. RODNEY DAVID MCLANE D.C.
Chiropractor
1600 GRATIOT BLVD
SUITE 6
MARYSVILLE, MI
ZIP 48040
REBECCA JO MCFARLANE
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
NANCY BOUCHER
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
SHIRLEY HICKMAN
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
SHERYL BURTON
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
DAN WALLINGTON
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
BRANDON SEGNITZ
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
PAULETTE STIRLING
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
LAURA THOMAS
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
DEBRA DEE RIX
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
MICHELE RAYMOND
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
ERICA COLDEN
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
STEPHEN C WHITE
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
PATRICIA FISHER
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
DAVID BOWMAN
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
DIANA FRITZ
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
DANA ELIZABETH MOFFETT
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
MARION SANFORD
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
MRS. BETTY JEAN ARNOLD M.A.
Counselor
(Mental Health)
1600 GRATIOT BLVD
BLDG B, SUITE 4
MARYSVILLE, MI
ZIP 48040
JODI LESHER HUFFINES
Technician
(Personal Care Attendant)
1600 GRATIOT BLVD
MARYSVILLE, MI
ZIP 48040
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.
