MEDICARE: BLUE JAY RECOVERY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1942155007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE JAY RECOVERY INC

Provider Business Mailing Address
First Line	:	10508 FAIRGROVE AVE
Second Line	:
City	:	TUJUNGA
State	:	CA
Zip	:	91042-1906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	991 BRENTWOOD DR
Second Line	:
City	:	LAKE ARROWHEAD
State	:	CA
Zip	:	92352
Country	:	US
Telephone Number	:	818-422-4004
Fax Number	:

Authorized Official
Title or Position	:	CONSULTANT
Name	:	MANNE OGANYAN
Credential	:	MPA
Telephone Number	:	818-422-4004

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1902753460 — SAMANTHA DANIELLE MERLOS EDS, PPS
Practice Location Address:

27400 HIGHWAY 18
LAKE ARROWHEAD, CA
92352

Practice Phone: 909-336-2038
Practice Fax:

1033065784 — CYNTHIA PHUONGNHI DAM PHARMD, RPH
Practice Location Address:

29101 HOSPITAL RD
LAKE ARROWHEAD, CA
92352-9706

Practice Phone: 909-336-3651
Practice Fax:

1083619910 — LAWRENCE R. WALKER MD
Practice Location Address:

29099 HOSPITAL ROAD , SUITE 114
LAKE ARROWHEAD, CA
92352

Practice Phone: 909-726-6100
Practice Fax: 909-557-1745

1154316297 — JOHN CLARKE HANKEY MD
Practice Location Address:

29101 HOSPITAL RD , EMERGENCY MEDICINE MOUNTAIN COMMUNITY HOSPITAL
LAKE ARROWHEAD, CA
92352-9706

Practice Phone: 909-336-3651
Practice Fax:

1619967395 — MS. MARY EDITH GALVIN RNC FNP PHD
Practice Location Address:

29011 HOSPITAL RD , STE 200
LAKE ARROWHEAD, CA
92352

Practice Phone: 909-336-9715
Practice Fax: 909-336-5751

1215915293 — ARROWHEAD - OB-GYN
Practice Location Address:

29099 HOSPITAL RD , STE 114
LAKE ARROWHEAD, CA
92352-1570

Practice Phone: 909-336-2156
Practice Fax: 909-336-0507

Directions to “BLUE JAY RECOVERY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.