NPIMap

Organization Active NPI

Blue Sky Assisted Living

  • Psychiatric Residential Treatment Facility
  • Chandler, AZ
National Provider Identifier
1588048185
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
BH4605 Issued in AZ
Legal business name
BLUE SKY ASSISTED LIVING
Practice address
2202 N Santa Anna CT
Chandler, AZ 85224-2161
Phone
(480) 726-1906
Fax
(480) 726-2568
NPI assigned
Jul 13, 2015
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
Mr. Ben Clayton
Title
Owner
Phone
(480) 540-1948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X BH4605 AZ Primary

Addresses

Primary practice location

2202 N Santa Anna CT
Chandler, AZ 85224-2161

Mailing address

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

Other names 1

  • Blue Sky Behavioral 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": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1588048185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD",
            "address_2": "SUITE 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": "2202 N SANTA ANNA CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242161",
            "telephone_number": "480-726-1906",
            "fax_number": "480-726-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH4605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Behavioral",
            "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.