Active NPI
Bluesky Health Care Services LLC
- Home Health Agency
- Westerville, OH
National Provider Identifier
1053022012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | securerecords.saford.html |
National Provider Directory
National Provider DirectoryNPI 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.