Provider Demographics
NPI:1124659503
Name:COLORADO BLUESKY ENTERPRISES, INC
Entity type:Organization
Organization Name:COLORADO BLUESKY ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHOFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-546-6701
Mailing Address - Street 1:2003 NORTHMOOR TER
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81008-1505
Mailing Address - Country:US
Mailing Address - Phone:719-542-6701
Mailing Address - Fax:719-546-0572
Practice Address - Street 1:2003 NORTHMOOR TER
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1505
Practice Address - Country:US
Practice Address - Phone:719-542-6701
Practice Address - Fax:719-546-0572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09143835Medicaid