NPIMap

Organization Active NPI

Colorado Bluesky Enterprises, Inc

  • Case Management Agency
  • Pueblo, CO
National Provider Identifier
1124659503
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COLORADO BLUESKY ENTERPRISES, INC
Practice address
2003 Northmoor Ter
Pueblo, CO 81008-1505
Phone
(719) 542-6701
Fax
(719) 546-0572
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Mariah L Schofield
Title
Cfo
Phone
(719) 546-6701

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

2003 Northmoor Ter
Pueblo, CO 81008-1505

Mailing address

2003 Northmoor Ter
Pueblo, CO 81008-1505
Phone (719) 542-6701

Other identifiers 1

IdentifierTypeStateIssuer
09143835MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 0

National Provider Directory

National Provider Directory
Tax ID family
Colorado Bluesky Enterprises Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1124659503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 NORTHMOOR TER",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081505",
            "telephone_number": "719-542-6701",
            "fax_number": "719-546-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 NORTHMOOR TER",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081505",
            "telephone_number": "719-542-6701",
            "fax_number": "719-546-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO BLUESKY ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "SCHOFIELD",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-546-6701"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09143835",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "0",
            "affiliation": "N",
            "address_1": "115 W 2nd St",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810033223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.