Provider Demographics
NPI:1811131584
Name:BLUE SKY HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:BLUE SKY HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOSSA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:954-639-7708
Mailing Address - Street 1:1601 N PALM AVE STE 204B
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3241
Mailing Address - Country:US
Mailing Address - Phone:954-639-7708
Mailing Address - Fax:954-342-9206
Practice Address - Street 1:1601 N PALM AVE
Practice Address - Street 2:SUITE 204-B
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3200
Practice Address - Country:US
Practice Address - Phone:305-788-4480
Practice Address - Fax:866-470-3118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-26
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health