Active NPI
Blue Sky Home Healthcare Services LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1003341884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BLUE SKY HOME HEALTHCARE SERVICES LLC
- Practice address
- 1150 Morse Rd Ste 111
Columbus, OH 43229-6327 - Phone
- (207) 274-8517
- NPI assigned
- Apr 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hamdi Said
- Title
- Administrator
- Phone
- (614) 396-9674
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1150 Morse Rd Ste 111
Columbus, OH 43229-6327
Mailing address
1150 Morse Rd Ste 111
Columbus, OH 43229-6327
Phone (207) 274-8517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180622002343 | OH | Part A Provider - Home Health Agency | 2062767577 | Practice locations: Columbus, OH |
Home health agency certification: CCN 369240
- Legal name
- BLUE SKY HOME HEALTHCARE SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 25, 2020
- Last certification
- Jun 25, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Nov 14, 2016 in OH
- Enrollment address
- 1150 Morse Rd
Ste 111
Columbus, OH 43229-6327
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Blue Sky Home Healthcare Services LLC
- Ownership
- Proprietary
- Certified
- Jun 25, 2020
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1150 Morse Rd
Ste 111
Columbus, OH 43229
Phone (614) 396-9674
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kassim Hassan | 5% Or Greater Direct Ownership Interest | Nov 14, 2016 | |
| Corporate Officer | Nov 14, 2016 | 100% | |
| W-2 Managing Employee | Nov 14, 2016 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747180800000",
"number": "1003341884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 MORSE RD STE 111",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432296327",
"telephone_number": "207-274-8517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 MORSE RD STE 111",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432296327",
"telephone_number": "207-274-8517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE SKY HOME HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-28",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A",
"authorized_official_last_name": "SAID",
"authorized_official_first_name": "HAMDI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "614-396-9674"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.