Organization Active NPI

Bluebird Home Healthcare LLC

  • In Home Supportive Care Agency
  • Independence, MO
National Provider Identifier
1093548174
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUEBIRD HOME HEALTHCARE LLC
Practice address
10606 E 18TH St S
Unit a
Independence, MO 64052
Phone
(816) 508-0189
NPI assigned
Aug 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
A Du by Dar
Title
Owner, President
Phone
(816) 508-0189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10606 E 18TH St S
Unit a
Independence, MO 64052

Mailing address

10606 E 18TH St S
Unit a
Independence, MO 64052

Other names 1

  • Bluebird Homecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1093548174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10606 E 18TH ST S",
            "address_2": "UNIT A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10606 E 18TH ST S",
            "address_2": "UNIT A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64052",
            "telephone_number": "816-508-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "DAR",
        "authorized_official_first_name": "A DU BY",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "816-508-0189"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluebird Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.