Organization Active NPI

Bluesky Health Care Services LLC

  • Home Health Agency
  • Westerville, OH
National Provider Identifier
1053022012
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLUESKY HEALTH CARE SERVICES LLC
Practice address
5433 Acapulco PL
Westerville, OH 43081-4301
Phone
(614) 787-0011
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Mbiybeh Simon Tata
Title
Ceo
Phone
(614) 787-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5433 Acapulco PL
Westerville, OH 43081-4301

Mailing address

5433 Acapulco PL
Westerville, OH 43081-4301
Phone (614) 787-0011

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL securerecords.saford.html

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1053022012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 ACAPULCO PL",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814301",
            "telephone_number": "614-787-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 ACAPULCO PL",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814301",
            "telephone_number": "614-787-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESKY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "TATA",
        "authorized_official_first_name": "MBIYBEH",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-787-0011"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "securerecords.saford.html",
            "affiliation": "N",
            "address_1": "5433 Acapulco Pl",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430814301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.