BLUE JAY ASSISTED LIVING – NPI #1912214966
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
BLUE JAY ASSISTED LIVING is a residential treatment facility located in HUDSON, WI. NPPES has assigned the NPI number 1912214966 to BLUE JAY ASSISTED LIVING on September 10, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLUE JAY ASSISTED LIVING” is a dba name, the actual legal business name for this organization is SUMAC RESIDENTIAL LLC. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE JAY ASSISTED LIVING below.
NPI Profile for
SUMAC RESIDENTIAL LLC
(about 16 years ago)
HUDSON, WI 54016 Phone: (715) 255-0466 Fax:
HUDSON, WI 54016-7695 Phone: (715) 255-0466 Fax:
OWNER
Phone: (715) 255-0466
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
WI |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.