Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Moon Enterprises LLC

Organization In Home Supportive Care Agency · NPI 1124574728

Blue Moon Enterprises LLC is an In Home Supportive Care Agency in Lakewood, Colorado. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1250 Kline St
Lakewood, CO 80215-4538
Phone: (908) 432-9309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1124574728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Sonneborn — Ceo · (908) 432-9309
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016
Mailing address1250 Kline St, Lakewood, CO 80215-4538

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