BLUESKY PRIME CARE LLC
NPI 1366233801
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Madison, WI

Active since May 14, 2025
6819 PARK RIDGE DR, MADISON, WI 53719(763) 300-2242 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bluesky Prime Care Llc NPPES

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

BLUESKY PRIME CARE LLC (NPI 1366233801) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Madison, Wisconsin and active in the NPI registry since May 2025. The organization lists Mohamed Odowaa, Owner, as its authorized official.Information from the official NPPES registry record, last updated May 14, 2025.

NPPES Registry Identity

NPI1366233801
Entity TypeOrganization
Legal Business NameBLUESKY PRIME CARE LLC
Location Address6819 PARK RIDGE DRMadison, WI 53719-2221
Mailing Address6819 Park Ridge DrMadison, WI 53719-2221 · (763) 300-2242
Organization SubpartNo
Authorized OfficialMohamed OdowaaOwner · (612) 986-5653
Enumeration DateMay 14, 2025
NPPES CertifiedMay 14, 2025
NPI 1366233801 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy 320900000X · Residential Treatment Facilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

6819 PARK RIDGE DR, Madison, WI 53719

Reviews for BLUESKY PRIME CARE LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
6819 PARK RIDGE DR
MADISON, WI 53719

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366233801, enumerated as an "organization" on May 14, 2025.

The provider is located at 6819 PARK RIDGE DR MADISON, WI 53719 and the phone number is (763) 300-2242.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.