Provider Demographics
NPI:1528480605
Name:CAYDEE BLUE CORP
Entity type:Organization
Organization Name:CAYDEE BLUE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-410-0013
Mailing Address - Street 1:1148 W. PIONEER PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6385
Mailing Address - Country:US
Mailing Address - Phone:682-410-0013
Mailing Address - Fax:682-410-0123
Practice Address - Street 1:1148 W. PIONEER PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6385
Practice Address - Country:US
Practice Address - Phone:682-410-0013
Practice Address - Fax:682-410-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care