OrganizationActive
Blu Haven Salon LLC
NPI 1790634566 · Prosthetic/Orthotic Supplier · Jacksonville, FL
Blu Haven Salon LLC is a Prosthetic/Orthotic Supplier organization in Jacksonville, FL (NPI 1790634566).
Provider details
- NPI number
- 1790634566
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Guerline Divra, Owner/Manager(904) 431-2131
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16259 Tisons Bluff Rd
Jacksonville, FL 32218-0141
Phone: (904) 431-2131
Street-level locationGet directions
Mailing address
731 Duval Station Rd
Jacksonville, FL 32218-0800
Other names (DBA / former)
- Doing business as
- Blu Haven Cranial Prosthetics
Registry dates
- Enumerated
- 2026-01-26
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Blu Haven Salon LLC's NPI number?
- Blu Haven Salon LLC's National Provider Identifier (NPI) is 1790634566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blu Haven Salon LLC?
- Blu Haven Salon LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Blu Haven Salon LLC located?
- Blu Haven Salon LLC's practice location on file with NPPES is 16259 Tisons Bluff Rd, Jacksonville, FL 32218-0141.
- What is Blu Haven Salon LLC's phone number?
- The practice phone number listed in the NPPES registry for Blu Haven Salon LLC is (904) 431-2131.
- Who is the authorized official for Blu Haven Salon LLC?
- The authorized official listed on Blu Haven Salon LLC's NPPES record is Guerline Divra, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blu Haven Salon LLC's NPI active?
- Yes — Blu Haven Salon LLC's NPI (1790634566) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.