# BLUE CARE OPCO HUMBOLDT - NORTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912642141
- **Authorized official:** SHMEUL HAIKINS (OWNER)
- **Authorized official phone:** (732) 637-9191

## Contact information

- **Practice address:** 1111 11TH AVE N, HUMBOLDT, IA 50548-1225
- **Practice address phone:** (732) 637-9191
- **Mailing address:** 36 AIRPORT RD \# S206, LAKEWOOD, NJ 08701-7034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2022
- **Last updated:** 05/02/2022