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BLUESKY HOUSECALLS LLC NPI 1073986410


NPI Information

NPI: 1073986410
Provider Name: BLUESKY HOUSECALLS, LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 44D2200881

Address:
109 WESTPARK DR
BRENTWOOD, TN
ZIP 37027
Phone: (615) 340-6840
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BLUESKY HOUSECALLS, LLC is a geriatric medicine family medicine in Brentwood, TN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. BLUESKY HOUSECALLS, LLC NPI is 1073986410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

109 WESTPARK DR
BRENTWOOD, TN
ZIP 37027-063
Phone: (615) 340-6840
Fax: (615) 600-4804

The provider's authorized official is Jacob Wallstedt .
The authorized official title is Chief Of Business Development and has the following contact phone number (615) 340-6840.

The CLIA number assigned to this NPI record is 44D2200881 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2015 and was last updated on 2/8/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

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: 4/28/2024

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