NPIMap

Organization Active NPI

Blue Sky Assisted Living, LLC

Doing business as Blue Sky at Vista

  • Assisted Living Facility (Behavioral Disturbances)
  • Mesa, AZ
National Provider Identifier
1417675513
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
BLUE SKY ASSISTED LIVING, LLC
Doing business as
Blue Sky at Vista
Practice address
2065 N Vista del Sol
Mesa, AZ 85207-2143
Phone
(480) 357-2565
Fax
(480) 885-4865
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Ben Clayton
Title
Member Manager
Phone
(480) 540-1948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

2065 N Vista del Sol
Mesa, AZ 85207-2143

Mailing address

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

Other names 1

  • Blue Sky at Vista 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.

Locations

3317 S Higley Rd
Ste 114
Gilbert, AZ 85297

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1417675513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD PMB 106",
            "address_2": "SUITE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-540-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 N VISTA DEL SOL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072143",
            "telephone_number": "480-357-2565",
            "fax_number": "480-885-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-540-1948"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky at Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

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

Verify at the official NPI Registry.