Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLUE LAKE HOMECARE MI, LLC
NPI 1770415176
In Home Supportive Care in Okemos, MI

Active since June 01, 2026
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864(313) 546-0363 Get Directions Write a Review

NPPES record added: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Lake Homecare Mi, Llc NPPES

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

BLUE LAKE HOMECARE MI, LLC (NPI 1770415176) is a healthcare organization registered as an in home supportive care in Okemos, Michigan and active in the NPI registry since June 2026. The organization maintains a secondary practice location in Okemos and lists Asher Klugmann, Director, as its authorized official.

NPPES Registry Identity

NPI1770415176
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameBLUE LAKE HOMECARE MI, LLC
Location Address2222 W GRAND RIVER AVE STE AOkemos, MI 48864-1604
Mailing Address1515 Pine St Ste 230Lakewood, NJ 08701-4994 · (313) 546-0363
Organization SubpartNo
Authorized OfficialAsher KlugmannDirector · (313) 546-0363
Enumeration DateJune 1, 2026
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
NPI 1770415176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
2222 W GRAND RIVER AVE STE A, Okemos, MI 48864

Secondary Practice Location 1

Location 12479 Woodlake Cir Ste 340Okemos, MI 48864-6931 · Phone (313) 546-0363

Other Providers at the Same Location NPPES 20

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

In Home Supportive Care
2222 W GRAND RIVER AVE STE A
OKEMOS, MI 48864
Social Worker
2222 W GRAND RIVER AVE STE A
OKEMOS, MI 48864
Social Worker (Clinical)
2222 W GRAND RIVER AVE STE A
OKEMOS, MI 48864
In Home Supportive Care
2222 W GRAND RIVER AVE STE A
OKEMOS, MI 48864
Prosthetic/Orthotic Supplier
2222 W GRAND RIVER AVE STE A
OKEMOS, MI 48864
Counselor (Professional)
2222 W GRAND RIVER AVE STE A
OKEMOS, MI 48864
Home Health
2222 W GRAND RIVER AVE STE A
OKEMOS, MI 48864
Home Health Aide
2222 W GRAND RIVER AVE STE A
OKEMOS, MI 48864

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 Lake Homecare Mi, LLC's NPI number?

The NPI number for Blue Lake Homecare Mi, LLC is 1770415176. It was assigned to this organization in the NPPES registry on June 1, 2026.

Where is Blue Lake Homecare Mi, LLC located?

Blue Lake Homecare Mi, LLC is located at 2222 W Grand River Ave Ste A, Okemos, MI 48864. The listed phone number is (313) 546-0363.

What is Blue Lake Homecare Mi, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Blue Lake Homecare Mi, LLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.