Provider Demographics
NPI:1003226119
Name:BLUE SKY SUPPLIES LLC
Entity Type:Organization
Organization Name:BLUE SKY SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-550-3029
Mailing Address - Street 1:4747 RESEARCH FOREST DR
Mailing Address - Street 2:180-292
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4912
Mailing Address - Country:US
Mailing Address - Phone:713-550-3029
Mailing Address - Fax:
Practice Address - Street 1:7807 LONG POINT RD
Practice Address - Street 2:431
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3679
Practice Address - Country:US
Practice Address - Phone:713-476-0838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies