MEDICARE: BLUEBIRD CARE GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1356225015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUEBIRD CARE GROUP LLC

Provider Business Mailing Address
First Line	:	2800 W 76 COUNTRY BLVD STE 200
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-2291
Country	:	US
Telephone Number	:	417-414-0999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 W 76 COUNTRY BLVD STE 200
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-2291
Country	:	US
Telephone Number	:	417-414-0999
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	CHIDINMA JESSICA ORIAKU
Credential	:
Telephone Number	:	417-414-0999

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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