Provider Demographics
NPI:1104531870
Name:BLUESKY HOME HEALTH SERVICE LLC
Entity type:Organization
Organization Name:BLUESKY HOME HEALTH SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEHINDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADELEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-424-9160
Mailing Address - Street 1:3450 STARLING DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-3604
Mailing Address - Country:US
Mailing Address - Phone:347-424-9160
Mailing Address - Fax:636-226-0655
Practice Address - Street 1:3450 STARLING DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3604
Practice Address - Country:US
Practice Address - Phone:347-424-9160
Practice Address - Fax:636-226-0655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty