Organization Active NPI

Skyway House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Chico, CA
National Provider Identifier
1003032517
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
040006GN Issued in CA
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

Updated by the provider on Jan 7, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.