Active NPI
Blue Sky Cimmunity Services
- Developmentally Disabled Services Day Training Agency
- Cape Girardeau, MO
National Provider Identifier
1902233711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BLUE SKY CIMMUNITY SERVICES
- Practice address
- 2354 Rusmar St
Cape Girardeau, MO 63703-7616 - Phone
- (573) 332-0030
- Fax
- (855) 313-1583
- NPI assigned
- Oct 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Smith
- Title
- Owner Director
- Phone
- (314) 323-0589
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MO |
Addresses
Primary practice location
2354 Rusmar St
Cape Girardeau, MO 63703-7616
Mailing address
2354 Rusmar St
Cape Girardeau, MO 63703-7616
National Provider Directory
National Provider DirectoryLocations
2354 Rusmar St
Cape Girardeau, MO 63703
Phone (573) 332-0030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386547200000",
"number": "1902233711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2354 RUSMAR ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637037616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2354 RUSMAR ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637037616",
"telephone_number": "573-332-0030",
"fax_number": "855-313-1583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE SKY CIMMUNITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-11",
"last_updated": "2013-12-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "OWNER DIRECTOR",
"authorized_official_telephone_number": "314-323-0589"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.