Active NPI
Sky House Supportive Living, LLC
- Case Management Agency
- Davis, CA
National Provider Identifier
1003764531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SKY HOUSE SUPPORTIVE LIVING, LLC
- Practice address
- 2240 Calaveras Ave
Davis, CA 95616-3024 - Phone
- (916) 407-9722
- NPI assigned
- Mar 19, 2026
- 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
- Kristin Sky, LCSW
- Title
- Ceo
- Phone
- (191) 640-7972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
2240 Calaveras Ave
Davis, CA 95616-3024
Mailing address
2240 Calaveras Ave
Davis, CA 95616-3024
Phone (916) 407-9722
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Sacramento, CA
- NPI 1578907911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1003764531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 CALAVERAS AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163024",
"telephone_number": "916-407-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 CALAVERAS AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163024",
"telephone_number": "916-407-9722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKY HOUSE SUPPORTIVE LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "SKY",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "191-640-7972",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.