Provider Demographics
NPI:1356221691
Name:BLUE OAKS HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:BLUE OAKS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KYLYUSHYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-938-2003
Mailing Address - Street 1:9845 HORN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1948
Mailing Address - Country:US
Mailing Address - Phone:916-938-2003
Mailing Address - Fax:916-415-3828
Practice Address - Street 1:9845 HORN RD STE 210
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-1948
Practice Address - Country:US
Practice Address - Phone:916-938-2003
Practice Address - Fax:916-415-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health