Provider Demographics
NPI:1578780185
Name:BLUE SKY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BLUE SKY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:VARDUHI
Authorized Official - Middle Name:MARA
Authorized Official - Last Name:GRIGORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:818-822-6474
Mailing Address - Street 1:16501 SHERMAN WAY STE 210
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3757
Mailing Address - Country:US
Mailing Address - Phone:818-773-8787
Mailing Address - Fax:818-773-0832
Practice Address - Street 1:16501 SHERMAN WAY STE 210
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3757
Practice Address - Country:US
Practice Address - Phone:818-773-8787
Practice Address - Fax:818-773-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health