NPIMap

Organization Active NPI

Bluesky Homecare Services, LLC.

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1659953420
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUESKY HOMECARE SERVICES, LLC.
Practice address
4707 Deacon LN
Indianapolis, IN 46237-3522
Phone
(317) 970-1004
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Lucky Erenven
Title
Owner
Phone
(317) 970-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4707 Deacon LN
Indianapolis, IN 46237-3522

Mailing address

4707 Deacon LN
Indianapolis, IN 46237-3522
Phone (317) 970-1004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1659953420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 DEACON LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373522",
            "telephone_number": "317-970-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 DEACON LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373522",
            "telephone_number": "317-970-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESKY HOMECARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "ERENVEN",
        "authorized_official_first_name": "LUCKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-970-1004"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.