Healthcare Provider Details

I. General information

NPI: 1003341884
Provider Name (Legal Business Name): BLUE SKY HOME HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2017
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 MORSE RD STE 111
COLUMBUS OH
43229-6327
US

IV. Provider business mailing address

1150 MORSE RD STE 111
COLUMBUS OH
43229-6327
US

V. Phone/Fax

Practice location:
  • Phone: 207-274-8517
  • Fax:
Mailing address:
  • Phone: 207-274-8517
  • 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: HAMDI SAID
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-396-9674