Blue Jay Assisted Living

LBN: Sumac Residential Llc
Blue Jay Assisted Living is an health care organization with primary practice located at 723 B Blue Jay Lane , Hudson WI 54016. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Sumac Residential Llc can be contacted via phone (715) 255-0466, or through Rusk, Timothy via phone (715) 255-0466.

Contact Information

Primary practice address
723 B Blue Jay Lane Hudson WI 54016
Phone: (715) 255-0466
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rusk, Timothy
Phone: (715) 255-0466

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Wisconsin

Profile Details

NPI number 1912214966
LBN Legal business name Sumac Residential Llc
DBA Doing business as Blue Jay Assisted Living
Authorized official Rusk, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2010
Last updated Sep 10th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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