MYSTI BLU MANAGEMENT GROUP, LLC
NPI 1003632522
Home Infusion in Carrollton, TX

Active since November 30, 2024
2459 E HEBRON PKWY STE 130, CARROLLTON, TX 75010(972) 522-9799(469) 546-9723 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mysti Blu Management Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTI BLU MANAGEMENT GROUP, LLC (NPI 1003632522) is a healthcare organization registered as a home infusion in Carrollton, Texas and active in the NPI registry since November 2024. The organization lists Jerria Bernestine, Owner, as its authorized official.

NPPES Registry Identity

NPI1003632522
Entity TypeOrganization
Primary Taxonomy251F00000X
Legal Business NameMYSTI BLU MANAGEMENT GROUP, LLC
Location Address2459 E HEBRON PKWY STE 130Carrollton, TX 75010-4477
Mailing Address2459 E Hebron Pkwy Ste 130Carrollton, TX 75010-4477 · (972) 522-9799 · Fax (469) 546-9723
Fax(469) 546-9723
Organization SubpartNo
Authorized OfficialJerria BernestineOwner · (310) 756-4829
Enumeration DateNovember 30, 2024
NPPES CertifiedNovember 30, 2024
NPI 1003632522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyHome InfusionAgencies
Taxonomy Code251F00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2459 E HEBRON PKWY STE 130, Carrollton, TX 75010

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2459 E HEBRON PKWY STE 130
CARROLLTON, TX 75010
Chiropractor
2459 E HEBRON PKWY STE 130
CARROLLTON, TX 75010
Nurse Practitioner (Family)
2459 E HEBRON PKWY STE 130
CARROLLTON, TX 75010
Nutritionist
2459 E HEBRON PKWY STE 130
CARROLLTON, TX 75010
Clinic/Center (Infusion Therapy)
2459 E HEBRON PKWY STE 130
CARROLLTON, TX 75010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mysti Blu Management Group, LLC's NPI number?

The NPI number for Mysti Blu Management Group, LLC is 1003632522. It was assigned to this organization in the NPPES registry on November 30, 2024.

Where is Mysti Blu Management Group, LLC located?

Mysti Blu Management Group, LLC is located at 2459 E Hebron Pkwy Ste 130, Carrollton, TX 75010. The listed phone number is (972) 522-9799.

What is Mysti Blu Management Group, LLC's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

When was this NPI record last updated?

The NPPES record for Mysti Blu Management Group, LLC was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.