Healthcare Provider Details

I. General information

NPI: 1922824010
Provider Name (Legal Business Name): BLUEBIRD SKY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2024
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6810 BRENDON PL
CASTLE PINES CO
80108-3479
US

IV. Provider business mailing address

6810 BRENDON PL
CASTLE PINES CO
80108-3479
US

V. Phone/Fax

Practice location:
  • Phone: 812-483-0394
  • Fax:
Mailing address:
  • Phone: 812-483-0394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EMILY WOLKENBERG
Title or Position: OWNER
Credential:
Phone: 812-483-0394