BLUE SKY GROUP HOME INC NPI 1205028305

NPI Information

NPI: 1205028305
Provider Name: BLUE SKY GROUP HOME, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
11000 SW 142ND PL
MIAMI, FL
ZIP 33186
Phone: (786) 316-3419
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BLUE SKY GROUP HOME, INC is an assisted living facility in Miami, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BLUE SKY GROUP HOME, INC NPI is 1205028305. The provider is registered as an organization entity type.

The provider's business location address is:

11000 SW 142ND PL
MIAMI, FL
ZIP 33186-011
Phone: (786) 316-3419
Fax: (305) 595-3679

The provider's authorized official is Medardo Gomez .
The authorized official title is President, Owner and has the following contact phone number (786) 316-3419.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 8/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		AL10892	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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