Provider Demographics
NPI:1255576435
Name:BLUE THUMB SERVICES LLC
Entity type:Organization
Organization Name:BLUE THUMB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:MERLE
Authorized Official - Last Name:KEMPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-300-5766
Mailing Address - Street 1:2346 W SHAW BUTTE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-3435
Mailing Address - Country:US
Mailing Address - Phone:602-300-5766
Mailing Address - Fax:602-395-5099
Practice Address - Street 1:2346 W SHAW BUTTE DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-3435
Practice Address - Country:US
Practice Address - Phone:602-300-5766
Practice Address - Fax:602-395-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ958150251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health