BLUE SKY BEHAVIORAL SERVICES, INC


Address: 291 Awin Cir Se, Palm Bay, FL 32909-8563
Phone: 3213396156

BLUE SKY BEHAVIORAL SERVICES, INC (NPI# 1376175737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376175737
Entity Type Organization
Organization Name BLUE SKY BEHAVIORAL SERVICES, INC
Practice Address 291 Awin Cir Se
Palm Bay
FL 32909-8563
Practice Telephone 3213396156
Mailing Telephone 3213396156
Enumeration Date 2020-02-04
Last Update Date 2020-02-04
Authorized Official Name LUCIA P GRANCHAMPS (MANAGER)
Authorized Official Telephone 3213396156
Authorized Official Credential BAS
Is Organization Subpart Y
Parent Organization Name BLUE SKY BEHAVIORAL SERVICES, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
BLUE S. B. SERVICES Doing Business As Name - Organization

Office Location

Street Address 291 AWIN CIR SE
City PALM BAY
State FL
Zip Code 32909-8563

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205447349 Sarah Nicosia Registered Nurse 2752 Palisades Dr, Palm Bay, FL 32909 2020-08-12
1447881297 Shangri-la of Palm Bay Alf, LLC Assisted Living Facility 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 2020-01-30
1972094357 Mindful Counseling and Wellness LLC Social Worker 221 Devlin Ct Se, Palm Bay, FL 32909 2018-05-22
1306348859 Mallory Kathleen Herndon Behavior Technician 458 Barcelona Rd, Palm Bay, FL 32909 2018-03-01
1548786627 Chotsani Merrill Home Health Aide 781 Davenport St Se, Palm Bay, FL 32909 2017-08-21
1639629538 Maggie Cameron Clinic/Center 2511 Quentin Ave Ne, Palm Bay, FL 32909 2016-10-04
1194195016 Dawn Goodwin Pharmacist 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 2015-10-05
1124407796 Jorge Ortiz Physical Therapist 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 2015-05-28
1932506227 Annalisa Tietjen I Dental Hygienist 714 Ave C, Fort Pierce, FL 32909 2014-12-02
1194147611 Carl Glenmore Morrison Sr. General Practice 2125 Windbrook Drive, Palm Bay, FL 32909 2014-01-17
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1215407234 Palm Quality Care Inc Clinic/Center 976 Lyons Cir Nw, Palm Bay, FL 32907-5920 2018-12-03
1295202190 Timika Marie Washington Clinic/Center 457 Abello Rd Se, Palm Bay, FL 32909-8806 2018-10-29
1477059541 Helping Heartz From Above LLC Clinic/Center 1344 Mit Ct Nw, Palm Bay, FL 32907-7853 2018-04-05
1417483470 Cleo Wyllie Clinic/Center 163 Haines Rd Sw, Palm Bay, FL 32908-1338 2017-05-11
1699201624 Khadiyah Joseph Clinic/Center 1376 Walthan St Se, Palm Bay, FL 32909-6053 2017-05-11
1639629538 Maggie Cameron Clinic/Center 2511 Quentin Ave Ne, Palm Bay, FL 32909 2016-10-04
1518463785 Tiffanie Williams Clinic/Center 1344 Mit Ct Nw, Palm Bay, FL 32907 2018-04-05

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1578164463 Jamesas Williams Clinic/Center 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 2020-11-05
1942801964 Aleyda P Blanco Clinic/Center 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 2020-11-05
1619578978 Mays Caring Home LLC Clinic/Center 103 Shaw Blvd, Fort Myers, FL 33905-2632 2020-11-03
1801497235 Precious Dreams Group Home #2, Inc. Clinic/Center 820 Nw 32nd Ave, Miami, FL 33125-3906 2020-11-03
1619578192 Elsyoff Care Center LLC Clinic/Center 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 2020-11-02
1417558099 Trnity Fields Inc Clinic/Center 12210 Netherfield Ct, Riverview, FL 33569-4117 2020-11-02
1891395430 Kettia Noel Clinic/Center 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 2020-10-30
1740880871 Salubrious Home Therapy Services, Inc Clinic/Center 3421 Sw 114th Ct, Miami, FL 33165-3330 2020-10-28
1407456718 Evelyne Charles Clinic/Center 3301 White Blossom Ln, Clermont, FL 34711-6366 2020-10-27
1295334191 Aging At Home LLC Clinic/Center 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 2020-10-21
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Competitor

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City PALM BAY
Zip Code 32909

Improve Information

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Dataset Information

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.

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