Evangelical Home - Port Huron

LBN: Blue Water Nursing Center
Evangelical Home - Port Huron is an health care organization with primary practice located at 5635 Lakeshore Rd , Fort Gratiot MI 48059-2817. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Blue Water Nursing Center can be contacted via phone (810) 385-7447, or through Petroskey, Lawrence G via phone (313) 836-3499.

Contact Information

Primary practice address
5635 Lakeshore Rd Fort Gratiot MI 48059-2817
Phone: (810) 385-7447
Fax: (810) 385-7114
Website:
Map and Directions
Authorized official contact:
Name: Petroskey, Lawrence G
Phone: (313) 836-3499

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 744060 Michigan

Profile Details

NPI number 1275511487
LBN Legal business name Blue Water Nursing Center
DBA Doing business as Evangelical Home - Port Huron
Authorized official Petroskey, Lawrence G
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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