BLUE SKY CIMMUNITY SERVICES (NPI# 1902233711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902233711 |
Entity Type | Organization |
Organization Name | BLUE SKY CIMMUNITY SERVICES |
Practice Address |
2354 Rusmar St Cape Girardeau MO 63703-7616 |
Practice Telephone | 5733320030 |
Practice Fax Number | 8553131583 |
Enumeration Date | 2013-10-11 |
Last Update Date | 2013-12-09 |
Authorized Official Name | CHERYL SMITH (OWNER DIRECTOR) |
Authorized Official Telephone | 3143230589 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities | |
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Street Address |
2354 RUSMAR ST |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63703-7616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
Find all providers in zip 63703 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588101315 | Reliable Home Health Services, LLC | Day Training, Developmentally Disabled Services | 663 Olivia Dr, Cape Girardeau, MO 63701-2742 | 2017-01-31 |
1609179373 | The Life of Jesus Organization | Day Training, Developmentally Disabled Services | 14 N Sprigg St, Cape Girardeau, MO 63701-5526 | 2010-12-17 |
1689811945 | The Tailor Institute, Inc. | Day Training, Developmentally Disabled Services | 3095 Lexington Ave Ste 500, Cape Girardeau, MO 63701-2674 | 2009-01-08 |
1790835759 | Regency Management, Inc. | Day Training, Developmentally Disabled Services | 1330 Southern Expy, Cape Girardeau, MO 63703-7706 | 2007-01-11 |
1780753640 | Southeast Missouri State University | Day Training, Developmentally Disabled Services | 2100 Themis St Ste 103c, Cape Girardeau, MO 63701-5124 | 2006-11-07 |
1538547278 | Preferred Family Healthcare | Day Training, Developmentally Disabled Services | 3105 Independence St, Suite B, Cape Girardeau, MO 63703-5042 | 2015-05-14 |
1598816654 | Regency Management, Inc | Day Training, Developmentally Disabled Services | 1330 Southern Expy, Cape Girardeau, MO 63703-7706 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483296 | Chinique Care LLC | Day Training, Developmentally Disabled Services | 13905 E 39th St S Ste 105, Independence, MO 64055-3378 | 2020-09-28 |
1164045068 | Phillip Brown | Day Training, Developmentally Disabled Services | 4954 Hurstborough Ct, Hazelwood, MO 63042-1592 | 2020-05-26 |
1487205365 | Dreams, LLC | Day Training, Developmentally Disabled Services | 105 E Main St Ste 10, Richmond, MO 64085-1729 | 2019-09-23 |
1669037701 | Amanda Elizabeth Derousse | Day Training, Developmentally Disabled Services | 1527 Deerwood Dr, Jackson, MO 63755-4148 | 2019-05-03 |
1841770955 | Goodwill of Western Missouri and Eastern Kansas | Day Training, Developmentally Disabled Services | 1817 Campbell St, Kansas City, MO 64108-1739 | 2018-08-17 |
1457880965 | Shawn William Cairer | Day Training, Developmentally Disabled Services | 24857 Highway O, Sedalia, MO 65301-0341 | 2017-06-08 |
1023559481 | Vocational Visionary Opportunities | Day Training, Developmentally Disabled Services | 10105 Us Highway 63, West Plains, MO 65775-4504 | 2017-03-17 |
1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
1881140556 | Paula Smith | Day Training, Developmentally Disabled Services | 810 E North Main St, Richmond, MO 64085-1916 | 2016-08-31 |
1649723081 | St. Louis Project Club | Day Training, Developmentally Disabled Services | 3662 S Broadway S, Saint Louis, MO 63118-4045 | 2016-08-02 |
Find all providers with the same taxonomy |
City | CAPE GIRARDEAU |
Zip Code | 63703 |
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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.