=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285836833
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BLUE POINT HOME CARE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2007
-----------------------------------------------------
Last Update Date | 07/06/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21910 S.W. 97 COURT
-----------------------------------------------------
City | CUTLER BAY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33190
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-971-5826
-----------------------------------------------------
Fax | 305-204-2969
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21910 S.W. 97 COURT
-----------------------------------------------------
City | CUTLER BAY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33190
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-971-5826
-----------------------------------------------------
Fax | 305-204-2969
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LOURDES D ARIAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-609-4403
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number | 9505
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3104A0625X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility (Mental Illness)
-----------------------------------------------------
License Number | 9505
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------