| Organization Name: | BLUE SKIES HOSPICE INC |
| NPI Number: | 1902818305 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA GUZMAN (DIRECTOR) |
| Mailing Address: | 2714 169th St Hammond |
| State: | IN US |
| Postal Code: | 463231508 |
| Phone Number: | 2195540688 |
| Fax Number: | 2195541773 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 10/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 060036112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |