SKYBLU RESIDENTIAL SERVICES (NPI# 1033775879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033775879 |
| Entity Type | Organization |
| Organization Name | SKYBLU RESIDENTIAL SERVICES |
| Other Organization Name | ASTRAL HOME CARE LLC |
| Practice Address |
3300 County Road 10 Ste 104 Brooklyn Center MN 55429-3064 |
| Practice Telephone | 7632839973 |
| Mailing Telephone | 7632839973 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | MISS RUTH MUNA DOMBRET (DIRECTOR/ADMINISTRATOR) |
| Authorized Official Telephone | 7362839973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Astral Home Care | Doing Business As Name - Organization |
| Astral Home Care LLC | Doing Business As Name - Organization |
| Street Address |
3300 COUNTY ROAD 10 STE 104 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55429-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| Find all providers in zip 55429 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493721 | Shifaa Care Inc | Home Health | 7038 Brooklyn Blvd Unit D, Brooklyn Center, MN 55429-1370 | 2020-10-04 |
| 1104436294 | Harmony Care Providers LLC | Home Health | 3101 68th Ave N, Brooklyn Center, MN 55429-4218 | 2020-08-04 |
| 1477170777 | Tequila Buckhanon | Home Health | 5701 Shingle Creek Pkwy Ste 250h, Brooklyn Center, MN 55430-2344 | 2020-07-02 |
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1366067746 | Vision2020 Group Homes LLC | Home Health | 411 70th Ave N Apt 213, Brooklyn Center, MN 55430-1244 | 2020-06-11 |
| 1578187316 | Resilience Care Services LLC | Home Health | 5352 Emerson Ave N, Brooklyn Center, MN 55430-3130 | 2020-06-06 |
| 1326662925 | Harmony Homes LLC | Home Health | 7006 Morgan Ave N, Brooklyn Center, MN 55430-1031 | 2020-05-31 |
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1982226262 | 4 Abc Home Care Services | Home Health | 3300 County Road 10 Ste 320d, Brooklyn Center, MN 55429-3072 | 2020-05-10 |
| 1932729878 | New Hope Health Care LLC | Home Health | 3812 Bass Lake Rd, Brooklyn Center, MN 55429-3005 | 2020-04-21 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55429 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.