Provider Demographics
NPI:1538995519
Name:BLUEHEART ADULT DAY CARE CENTER L.L.C
Entity type:Organization
Organization Name:BLUEHEART ADULT DAY CARE CENTER L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLETHA
Authorized Official - Middle Name:EDNETTA
Authorized Official - Last Name:BLUE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-352-9728
Mailing Address - Street 1:709 S FEDERAL HWY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-5610
Mailing Address - Country:US
Mailing Address - Phone:561-509-7882
Mailing Address - Fax:
Practice Address - Street 1:709 S FEDERAL HWY UNIT 1
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-5610
Practice Address - Country:US
Practice Address - Phone:561-509-7882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care