BLUE SKY THERAPY SERVICES, LLC (NPI# 1134666373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134666373 |
| Entity Type | Organization |
| Organization Name | BLUE SKY THERAPY SERVICES, LLC |
| Practice Address |
3058 N State Rd Ste E Davison MI 48423-3508 |
| Practice Telephone | (810) 652-6315 |
| Practice Fax Number | 8106526213 |
| Mailing Telephone | (810) 652-6315 |
| Mailing Fax Number | 8106526213 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | MRS. JOE NOVAK (CFO) |
| Authorized Official Telephone | 8106526315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 7501002698 | MI | Agencies |
| N | 251E00000X | Home Health | 52011003946 | MI | Agencies |
| N | 273Y00000X | Rehabilitation Unit | 7501002698 | MI | Hospital Units |
| Y | 273Y00000X | Rehabilitation Unit | 52011003946 | MI | Hospital Units |
| Street Address |
3058 N STATE RD STE E |
| City | DAVISON |
| State | MI |
| Zip Code | 48423-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496300 | Dustin Oprisiu | Specialist/Technologist | 3058 N State Rd Ste E, Davison, MI 48423-3508 | 2020-01-09 |
| 1811491681 | Benjamin Fodale | Massage Therapist | 3058 N State Rd Ste E, Davison, MI 48423-3508 | 2018-03-19 |
| 1669988820 | Michelle Bourassa | Massage Therapist | 3058 N State Rd Ste E, Davison, MI 48423-3508 | 2017-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258105 | Davison Medical Practice Plc | Internal Medicine | 1260 N Irish Rd Ste B, Davison, MI 48423 | 2018-06-08 |
| 1760911036 | Davison Care N Assist | Meals | 1044 North Irish, Davison, MI 48423 | 2017-06-08 |
| 1518499839 | Angela Dunscombe | Assistant Behavior Analyst | 370 Carol Mary Ln, Davison, MI 48423 | 2017-03-28 |
| 1932572849 | Terria Kurtz | Social Worker | 501 Davison Rd, Davison, MI 48423 | 2015-11-02 |
| 1821465139 | Teresa Marshall | Registered Nurse | 832 Groten Drive, Davison, MI 48423 | 2015-08-24 |
| 1821478132 | Phyllis Ann Stoutenberg | Massage Therapist | 105 E. Second St., Suite 2, Davison, MI 48423 | 2015-06-02 |
| 1760869713 | Aimee Vakula-rollins, D.d.s., Pllc | Dentist | 1044 N. Irish Rd, Suite B, Davison, MI 48423 | 2015-04-29 |
| 1841681459 | Pamela Linn | Counselor | 501 W. Flint St Suite A, Davison, MI 48423 | 2015-02-18 |
| 1740684232 | Dustin Doren | Physical Therapist | 1410 Pondview Dr, Davison, MI 48423 | 2014-10-14 |
| 1982032132 | Sadie Adams | Speech-Language Pathologist | 9100 Lapeer Road Suite C, Davison, MI 48423 | 2013-10-25 |
| Find all providers in zip 48423 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902175805 | Martial Arts Therapy | Rehabilitation Unit | 7800 W Sharpe Rd, Fowlerville, MI 48836-8750 | 2011-12-21 |
| 1295965911 | Theracare Rehab,llc | Rehabilitation Unit | 42456 Cherry Hill Road, Canton, MI 48187-3401 | 2009-07-15 |
| 1063551281 | Universal Rehabilitation Services Inc | Rehabilitation Unit | 26250 Northwestern Hwy, Southfield, MI 48076-3903 | 2007-02-05 |
| 1023107877 | Henry Ford Health System | Rehabilitation Unit | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2006-10-12 |
| 1336235498 | Henry Ford Health System | Rehabilitation Unit | 44800 Delco Blvd, Sterling Heights, MI 48313-1026 | 2006-10-05 |
| 1801844220 | Complete Care Rehab LLC | Rehabilitation Unit | 31370 Harper Ave, Saint Clair Shores, MI 48082-2450 | 2006-05-05 |
| 1477512424 | Edward W. Sparrow Hospital Association | Rehabilitation Unit | 1215 E. Michigan Avenue, Lansing, MI 48909-7980 | 2006-03-20 |
| 1801860218 | Mclaren Bay Region | Rehabilitation Unit | 3250 E Midland Rd, Bay City, MI 48706-2835 | 2006-02-14 |
| 1801866942 | St. John Hospital and Medical Center | Rehabilitation Unit | 26755 Ballard St, Harrison Twp, MI 48045-2419 | 2006-01-23 |
| 1598763385 | Tri-county Therapy Center, LLC Dba Valley Hill Therapy Center | Rehabilitation Unit | 43456 Mound Rd, Suite 500, Sterling Heights, MI 48314-2080 | 2005-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BLUE SKY THERAPY SERVICES, LLC.
| 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.