Organization Active NPI

Skyblu Residential Services

  • Home Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1033775879
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKYBLU RESIDENTIAL SERVICES
Practice address
8943 Dunbar KNL N
Brooklyn Park, MN 55443-4013
Phone
(763) 283-9973
Fax
(763) 284-1050
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Ruth Muna Dombret
Title
Director/Administrator
Phone
(736) 283-9973

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

8943 Dunbar KNL N
Brooklyn Park, MN 55443-4013

Mailing address

8943 Dunbar KNL N
Brooklyn Park, MN 55443-4013
Phone (763) 283-9973

Other names 2

  • Astral Home Care Doing business as
  • Astral Home Care LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@astralhomecare.com Health Information Exchange (HIE)
Direct Messaging Address rdombret@astralhomecare.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2292407Astral Home Care LLC - Dunbar Assisted Living Site8943 Dunbar Knoll North, Brooklyn Park, MN 55443Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory

Locations

3300 County Road 10
Ste 104
Brooklyn Center, MN 55429

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1033775879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8943 DUNBAR KNL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434013",
            "telephone_number": "763-283-9973",
            "fax_number": "763-284-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8943 DUNBAR KNL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434013",
            "telephone_number": "763-283-9973",
            "fax_number": "763-284-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYBLU RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "DOMBRET",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "MUNA",
        "authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "736-283-9973",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@astralhomecare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8943 Dunbar Knl N",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554434013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdombret@astralhomecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8943 Dunbar Knl N",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554434013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Astral Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Astral Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.