Provider Demographics
NPI:1851009815
Name:BLUE SKY HOME HEALTHCARE SERVICES2,LLC
Entity Type:Organization
Organization Name:BLUE SKY HOME HEALTHCARE SERVICES2,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:ABDUKADIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-735-3165
Mailing Address - Street 1:1150 MORSE RD STE 111
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6327
Mailing Address - Country:US
Mailing Address - Phone:614-735-3165
Mailing Address - Fax:
Practice Address - Street 1:1150 MORSE RD STE 111
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6327
Practice Address - Country:US
Practice Address - Phone:614-735-3165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health