NPIMap

Organization Active NPI

Blue Skies Group Home

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1841937612
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUE SKIES GROUP HOME
Practice address
7128 Wrenwood Cir
Tampa, FL 33617-8462
Phone
(813) 802-5553
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Mr. Hector Ivan Rosado, MANAGERNPI 1982849022
Title
Direct Care
Phone
(813) 802-5553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7128 Wrenwood Cir
Tampa, FL 33617-8462

Mailing address

7128 Wrenwood Cir
Tampa, FL 33617-8462
Phone (813) 802-5553

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1841937612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7128 WRENWOOD CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178462",
            "telephone_number": "813-802-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 WRENWOOD CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336178462",
            "telephone_number": "813-802-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "DIRECT CARE",
        "authorized_official_telephone_number": "813-802-5553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.