BLUE SKY ASSISTED LIVING, LLC (NPI# 1356883789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356883789 |
| Entity Type | Organization |
| Organization Name | BLUE SKY ASSISTED LIVING, LLC |
| Other Organization Name | BLUE SKY BEHAVIORAL AT COLT |
| Practice Address |
1619 W Colt Rd Chandler AZ 85224-2611 |
| Mailing Address |
3317 S Higley Rd Ste 114 Pmb 106 Gilbert AZ 85297-5436 |
| Practice Telephone | 4807269505 |
| Practice Fax Number | 4807269504 |
| Mailing Telephone | 4805401948 |
| Mailing Fax Number | 8005099446 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | BEN CLAYTON (OWNER) |
| Authorized Official Telephone | 4805401948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | BH5017 | AZ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Blue Sky Behavioral at Colt | Doing Business As Name - Organization |
| Street Address |
1619 W COLT RD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-2611 |
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| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
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| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
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| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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|---|---|---|---|---|
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| 1588048185 | Blue Sky Assisted Living | Psychiatric Residential Treatment Facility | 2202 N Santa Anna Ct, Chandler, AZ 85224-2161 | 2015-07-13 |
| 1386077386 | Better Horizons Behavioral Health LLC | Psychiatric Residential Treatment Facility | 2851 E La Costa Dr, Chandler, AZ 85249-4925 | 2013-08-13 |
| 1790064152 | Better Horizons Behavioaral Health | Psychiatric Residential Treatment Facility | 2184 E. Firestone Dr, Chandler, AZ 85249 | 2011-08-16 |
| 1689747370 | Southwestern Children's Health Services, Inc. | Psychiatric Residential Treatment Facility | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2006-11-17 |
| 1962998161 | Kellerlife, LLC | Psychiatric Residential Treatment Facility | 111 S Hearthstone Way, Chandler, AZ 85226-5010 | 2018-07-11 |
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| 1235750977 | Sagamar Behavioral Care Home, LLC | Psychiatric Residential Treatment Facility | 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 | 2020-05-05 |
| 1508492703 | Rehoboth LLC | Psychiatric Residential Treatment Facility | 41947 W Rosa Dr, Maricopa, AZ 85138-2550 | 2020-03-19 |
| 1851926661 | Cadens Health and Wellness LLC | Psychiatric Residential Treatment Facility | 5244 W Apollo Rd, Laveen, AZ 85339-6912 | 2020-03-12 |
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| 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.