Blue Wake, Inc is a Home Health in Spicewood, Texas. Blue Wake, Inc practices all healthcare services and medical treatments related to Home Health. The NPI Number for Blue Wake, Inc is 1730198805. The last update date is 2020-08-22.
Blue Wake, Inc's current location address is 309 Dunkeld Dr, Spicewood, Texas. You can contact this provider via phone number 5122643153 and fax number 5122643401. The mailing address for Blue Wake, Inc is 309 Dunkeld Dr, Spicewood, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Wake, Inc |
|---|---|
| Address | 309 Dunkeld Dr, Spicewood, Texas |
| Phone Number | 5122643153 |
| Fax Number | 5122643401 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leslie Douglas |
| Telephone Number | 5122643153 |
NPI Number Detail
| NPI Number | 1730198805 |
|---|---|
| Provider Enumeration Date | 2006-08-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 309 Dunkeld Dr |
|---|---|
| City | Spicewood |
| State | Texas (TX) |
| Post Code | 786692154 |
| Phone Number | 5122643153 |
| Fax Number | 5122643401 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | APPLIED FOR |
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Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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What is the unique 10-digit identifier code issued to Blue Wake, Inc by the Centers for Medicare & Medicaid Services?
The Blue Wake, Inc has been assigned the NPI (National Provider Identifier) 1730198805 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Blue Wake, Inc?
The Blue Wake, Inc is physically situated at 309 Dunkeld Dr, in the city of Spicewood, state of TX, with the postal code 786692154.
What is Blue Wake, Inc's area of expertise and its corresponding taxonomy classification?
The Blue Wake, Inc's field of specialization is Home Health, and it falls under the taxonomy code 251E00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1730198805 assigned to Blue Wake, Inc?
The Blue Wake, Inc was issued its 1730198805 on 2006-08-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Blue Wake, Inc most recently updated or revised?
The details related to Blue Wake, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.