EVANGELICAL HOME - PORT HURON
NPI 1275511487
Skilled Nursing Facility in Fort Gratiot, MI

Active since January 06, 2006
5635 LAKESHORE RD, FORT GRATIOT, MI 48059(810) 385-7447(810) 385-7114 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evangelical Home - Port Huron NPPES

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

EVANGELICAL HOME - PORT HURON (NPI 1275511487) is a healthcare organization registered as a skilled nursing facility in Fort Gratiot, Michigan and active in the NPI registry since January 2006. The organization lists Lawrence G Petroskey, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275511487
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBLUE WATER NURSING CENTER
Location Address5635 LAKESHORE RDFort Gratiot, MI 48059-2817
Mailing Address5635 Lakeshore RdFort Gratiot, MI 48059-2817 · (810) 385-7447 · Fax (810) 385-7114
Fax(810) 385-7114
Organization SubpartNo
Authorized OfficialLawrence G PetroskeyCfo · (313) 836-3499
Enumeration DateJanuary 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1275511487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MI · 744060
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

5635 LAKESHORE RD, Fort Gratiot, MI 48059

Other Names 1

Doing Business AsEvangelical Home - Port Huron

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Physical Therapy Assistant
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Occupational Therapy Assistant
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Physical Therapist
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Occupational Therapy Assistant
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Skilled Nursing Facility
5635 LAKESHORE RD
FORT GRATIOT, MI 48059
Skilled Nursing Facility
5635 LAKESHORE RD
FORT GRATIOT, MI 48059

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 Nursing Center's NPI number?

The NPI number for Blue Water Nursing Center is 1275511487. It was assigned to this organization in the NPPES registry on January 6, 2006. The provider is doing business as Evangelical Home - Port Huron.

Where is Blue Water Nursing Center located?

Blue Water Nursing Center is located at 5635 Lakeshore Rd, Fort Gratiot, MI 48059. The listed phone number is (810) 385-7447.

What is Blue Water Nursing Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Blue Water Nursing Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.