Active NPI
Skyway House, Inc.
- Substance Abuse Rehabilitation Facility
- Chico, CA
National Provider Identifier
1003032517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 040006GN
- Legal business name
- SKYWAY HOUSE, INC.
- Doing business as
- Skyway House
- Practice address
- 392 Connors CT Ste C
Chico, CA 95926-1175 - Phone
- (530) 898-8326
- Fax
- (530) 898-0239
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Wayne Deichler, Sudcc II, CSC, SUDCC II, CSC
- Title
- Executive Director
- Phone
- (530) 898-9424
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 040006CN | CA | |
| Substance Abuse Rehabilitation Facility | 324500000X | 040006GN | CA | Primary |
| Substance Abuse Rehabilitation Facility | 324500000X | 040006LN | CA |
Addresses
Primary practice location
392 Connors CT Ste C
Chico, CA 95926-1175
Mailing address
392 Connors CT Ste C
Chico, CA 95926-1175
Phone (530) 898-8326
Other practice location 1
3105 Esplanade
Chico, CA 95973-0202
Phone (530) 342-3046
Other practice location 2
392 Connors Ct Ste D
Chico, CA 95926-1175
Phone (530) 898-8326
Other names 1
- Skyway House
National Provider Directory
National Provider DirectoryLocations
392 Connors Ct
Ste C
Chico, CA 95926
Phone (530) 898-8326
392 Connors Ct
Ste D
Chico, CA 95926
Phone (530) 898-8326
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Chico, CA
- NPI 1164779898
-
- Addiction (Substance Use Disorder) Counselor
- Chico, CA
- NPI 1285981753
-
- Addiction (Substance Use Disorder) Counselor
- Chico, CA
- NPI 1831448489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578355200000",
"number": "1003032517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 CONNORS CT STE C",
"city": "CHICO",
"state": "CA",
"postal_code": "959261175",
"telephone_number": "530-898-8326",
"fax_number": "530-898-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 CONNORS CT STE C",
"city": "CHICO",
"state": "CA",
"postal_code": "959261175",
"telephone_number": "530-898-8326",
"fax_number": "530-898-0239"
}
],
"practiceLocations": [
{
"address_1": "3105 Esplanade",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959730202",
"country_code": "US",
"telephone_number": "530-342-3046",
"fax_number": "530-342-1756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "392 Connors Ct Ste D",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959261175",
"country_code": "US",
"telephone_number": "530-898-8326",
"fax_number": "530-898-0239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SKYWAY HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A",
"authorized_official_last_name": "DEICHLER, SUDCC II, CSC",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "530-898-9424",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "SUDCC II, CSC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "040006CN",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "040006GN",
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "040006LN",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Skyway House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.