Active NPI
Skyblu Residential Services
- Home Health Agency
- Brooklyn Park, MN
National Provider Identifier
1033775879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Astral Home Care LLC
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@astralhomecare.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | rdombret@astralhomecare.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2292407 | Astral Home Care LLC - Dunbar Assisted Living Site | Certificate of waiver | Oct 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.