Provider Demographics
NPI:1710536081
Name:BLU CARE INC
Entity Type:Organization
Organization Name:BLU CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FAISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-501-8208
Mailing Address - Street 1:7400 METRO BLVD STE 427
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2326
Mailing Address - Country:US
Mailing Address - Phone:612-501-8208
Mailing Address - Fax:612-440-2199
Practice Address - Street 1:7400 METRO BLVD STE 350
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2357
Practice Address - Country:US
Practice Address - Phone:888-517-5550
Practice Address - Fax:612-440-2199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health