Provider Demographics
NPI:1942510375
Name:BLUE SKY HOME CARE, LLC
Entity Type:Organization
Organization Name:BLUE SKY HOME CARE, LLC
Other - Org Name:COMFORCARE HOME CARE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JINGMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-363-1485
Mailing Address - Street 1:255 GORDON DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1322
Mailing Address - Country:US
Mailing Address - Phone:610-363-1485
Mailing Address - Fax:
Practice Address - Street 1:255 GORDON DR
Practice Address - Street 2:SUITE 204
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1322
Practice Address - Country:US
Practice Address - Phone:610-363-1485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10763601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health