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General NPI Number Information
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NPI Number | 1154090868
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Entity Type | Organization
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Legal Business Name | BLUE SKY WORLD HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 11718 BETTYHILL CT
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City | RICHMOND
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State | TX
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Zip | 77407-3317
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Country | US
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Telephone | 832-462-3831
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Fax |
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Provider Business Mailing Address
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Address Line | 11718 BETTYHILL CT
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City | RICHMOND
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State | TX
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Zip | 77407-3317
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Country | US
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Telephone | 832-462-3831
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTINE OYEWUNMI BALOGUN
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Credential | RN
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Telephone | 832-840-7544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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