Provider Demographics
NPI:1356477830
Name:BLUEWEST OPPORTUNITIES, INC.
Entity Type:Organization
Organization Name:BLUEWEST OPPORTUNITIES, INC.
Other - Org Name:NEW STOCK ROAD GROUP HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:NADINE
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-274-8368
Mailing Address - Street 1:PO BOX 1250
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-1250
Mailing Address - Country:US
Mailing Address - Phone:828-274-8368
Mailing Address - Fax:828-274-1424
Practice Address - Street 1:122 WOODLAND HILLS RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1029
Practice Address - Country:US
Practice Address - Phone:828-658-9842
Practice Address - Fax:828-251-4530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-011-137315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC340611WMedicaid