NPIMap

Organization Active NPI

Blue Sky Assisted Living, LLC

Doing business as Blue Sky Behavioral at Colt

  • Psychiatric Residential Treatment Facility
  • Chandler, AZ
National Provider Identifier
1356883789
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
BH5017 Issued in AZ
Legal business name
BLUE SKY ASSISTED LIVING, LLC
Doing business as
Blue Sky Behavioral at Colt
Practice address
1619 W Colt Rd
Chandler, AZ 85224-2611
Phone
(480) 726-9505
Fax
(480) 726-9504
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Ben Clayton
Title
Owner
Phone
(480) 540-1948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X BH5017 AZ Primary

Addresses

Primary practice location

1619 W Colt Rd
Chandler, AZ 85224-2611

Mailing address

3317 S Higley Rd
Ste 114 PMB 106
Gilbert, AZ 85297-5436
Phone (480) 540-1948

Other names 1

  • Blue Sky Behavioral at Colt Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Sky Assisted Living LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1356883789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD",
            "address_2": "STE 114 PMB 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975436",
            "telephone_number": "480-540-1948",
            "fax_number": "800-509-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 W COLT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242611",
            "telephone_number": "480-726-9505",
            "fax_number": "480-726-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-540-1948"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Behavioral at Colt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.