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BLUE JAY ASSISTED LIVING
NPI 1912214966
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hudson, WI

Active since September 10, 2010
723 B BLUE JAY LANE, HUDSON, WI 54016(715) 255-0466 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Jay Assisted Living NPPES

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

BLUE JAY ASSISTED LIVING (NPI 1912214966) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Hudson, Wisconsin and active in the NPI registry since September 2010. The organization lists Timothy Rusk, Owner, as its authorized official.

NPPES Registry Identity

NPI1912214966
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSUMAC RESIDENTIAL LLC
Location Address723 B BLUE JAY LANEHudson, WI 54016
Mailing Address723b Blue Jay LnHudson, WI 54016-7695 · (715) 255-0466
Phone(715) 255-0466
Organization SubpartNo
Authorized OfficialTimothy RuskOwner · (715) 255-0466
Enumeration DateSeptember 10, 2010
✔ NPI 1912214966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
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.
723 B BLUE JAY LANE, Hudson, WI 54016
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Other Names 1

Doing Business AsBlue Jay Assisted Living

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 Sumac Residential LLC's NPI number?

The NPI number for Sumac Residential LLC is 1912214966. It was assigned to this organization in the NPPES registry on September 10, 2010. The provider is doing business as Blue Jay Assisted Living.

Where is Sumac Residential LLC located?

Sumac Residential LLC is located at 723 B Blue Jay Lane, Hudson, WI 54016. The listed phone number is (715) 255-0466.

What is Sumac Residential LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Sumac Residential LLC was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.