BLUE HILLS REST HOME INC.
NPI 1750442026
Assisted Living Facility in Independence, MO

Q: What is Blue Hills Rest Home Inc.'s NPI number?

The NPI number for Blue Hills Rest Home Inc. is 1750442026. It was assigned to this organization in the NPPES registry on December 12, 2006.

Q: What is Blue Hills Rest Home Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 12, 2006CLIA 26D0888840 · Waiver

2207 N BLUE MILLS RD, INDEPENDENCE, MO 64058(816) 796-3376(816) 796-5646 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blue Hills Rest Home Inc. NPPES

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

BLUE HILLS REST HOME INC. (NPI 1750442026) is a healthcare organization registered as an assisted living facility in Independence, Missouri and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Ethel Marie Dunham, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750442026

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBLUE HILLS REST HOME INC.

Location Address2207 N BLUE MILLS RDIndependence, MO 64058-2022

Mailing Address2207 N Blue Mills RdIndependence, MO 64058-2022 · (816) 796-3376 · Fax (816) 796-5646

Phone(816) 796-3376

Fax(816) 796-5646

Organization SubpartNo

Authorized OfficialEthel Marie DunhamAdministrator · (816) 796-3376

Enumeration DateDecember 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1750442026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MO · 033489

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2207 N BLUE MILLS RD, Independence, MO 64058

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0888840

Blue Hills Rest Home, Inc · Independence, MO

Active · expires Jul 13, 2028

CLIA Number26D0888840

Laboratory TypeAssisted Living Facility

Certificate Effective DateJuly 14, 2026

Certificate Expiration DateJuly 13, 2028

Laboratory DirectorEthel M. Dunham

Laboratory Phone(816) 796-3376

Laboratory LocationBlue Hills Rest Home, Inc2207 N Blue Mills Road, Independence, MO 64058

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Hills Rest Home Inc.'s NPI number?

The NPI number for Blue Hills Rest Home Inc. is 1750442026. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Blue Hills Rest Home Inc. located?

Blue Hills Rest Home Inc. is located at 2207 N Blue Mills Rd, Independence, MO 64058. The listed phone number is (816) 796-3376.

What is Blue Hills Rest Home Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Blue Hills Rest Home Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0888840) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Hills Rest Home Inc. was last updated on August 22, 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.