BLU HAVEN SALON LLC
NPI 1790634566
Prosthetic/Orthotic Supplier in Jacksonville, FL

Q: What is Blu Haven Salon LLC's NPI number?

The NPI number for Blu Haven Salon LLC is 1790634566. It was assigned to this organization in the NPPES registry on January 26, 2026. The provider is doing business as Blu Haven Cranial Prosthetics.

Q: What is Blu Haven Salon LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since January 26, 2026

16259 TISONS BLUFF RD, JACKSONVILLE, FL 32218(904) 431-2131 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blu Haven Salon Llc NPPES

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

BLU HAVEN SALON LLC (NPI 1790634566), doing business as Blu Haven Cranial Prosthetics, is a healthcare organization registered as a prosthetic/orthotic supplier in Jacksonville, Florida and active in the NPI registry since January 2026. The organization lists Guerline Divra, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1790634566

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameBLU HAVEN SALON LLC

Location Address16259 TISONS BLUFF RDJacksonville, FL 32218-0141

Mailing Address731 Duval Station RdJacksonville, FL 32218-0800 · (904) 431-2131

Phone(904) 431-2131

Organization SubpartNo

Authorized OfficialGuerline DivraOwner/manager · (904) 431-2131

Enumeration DateJanuary 26, 2026

NPPES CertifiedJanuary 26, 2026

✔ NPI 1790634566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

16259 TISONS BLUFF RD, Jacksonville, FL 32218

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Other Names 1

Doing Business AsBlu Haven Cranial Prosthetics

Other Providers at the Same Location NPPES

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

GUERLINE DIVRA

Specialist (Prosthetics Case Management)

16259 TISONS BLUFF RD
JACKSONVILLE, FL 32218

Duval County (904) 431-2131

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 Blu Haven Salon LLC's NPI number?

The NPI number for Blu Haven Salon LLC is 1790634566. It was assigned to this organization in the NPPES registry on January 26, 2026. The provider is doing business as Blu Haven Cranial Prosthetics.

Where is Blu Haven Salon LLC located?

Blu Haven Salon LLC is located at 16259 Tisons Bluff Rd, Jacksonville, FL 32218. The listed phone number is (904) 431-2131.

What is Blu Haven Salon LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Blu Haven Salon LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.