Organization Active NPI

Colorado Bluesky Enterprises, Inc.

  • Case Management Agency
  • Pueblo, CO
National Provider Identifier
1386766905
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) 546-0577
NPI assigned
Apr 4, 2007
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
Finance Director
Phone
(719) 542-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

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
71904514MedicaidCO

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1386766905",
    "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": "719-546-0577"
        },
        {
            "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": "719-546-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO BLUESKY ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "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": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "719-542-6701"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71904514",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "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.