Bluebird Homecare Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUEBIRD HOMECARE AGENCY

Practice address

1650 W End Blvd
St Louis Park, MN 55416-5367

Phone

(612) 261-6988

Fax

(612) 465-6709

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Sabrina Lukalu

Title

Managing Director

Phone

(612) 261-6988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1770164667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 XERXES AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441543",
            "telephone_number": "612-261-6988",
            "fax_number": "612-465-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W END BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165367",
            "telephone_number": "612-261-6988",
            "fax_number": "612-465-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LUKALU",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "612-261-6988"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher H Blevins, MD
• Madilyn R Bliss
• Roman Bloch, M.D.
• Mary C Blomberg, MD
• Blue & White Service Corporation
• Kathryn Blum
• Dina Rebecca Blumenfield, D.O.
• Peter Boardman, M.D.
• Joanna Bobbitt, PT DPT
• Haleigh Ann Bodeau, MD

• Home Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.