Sky Limits 1, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

30211419 Issued in FL

Legal business name

SKY LIMITS 1, INC

Doing business as

Heavenly Home PCS

Practice address

950 N Cocoa Blvd
Unit 102
Cocoa, FL 32922-7582

Phone

(321) 632-0675

Fax

(321) 632-0673

NPI assigned

Sep 24, 2009

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Antwon Montae Trice

Title

President

Phone

(843) 655-5860

Specialties & licenses 3

Addresses

Other names 1

• HEAVENLY HOME PCS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1023342920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372029",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329370029",
            "telephone_number": "321-632-0675",
            "fax_number": "321-632-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COCOA BLVD",
            "address_2": "UNIT 102",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227582",
            "telephone_number": "321-632-0675",
            "fax_number": "321-632-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY LIMITS 1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "TRICE",
        "authorized_official_first_name": "ANTWON",
        "authorized_official_middle_name": "MONTAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-655-5860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "FL",
            "license": "30211419",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30211419",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAVENLY HOME PCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leandra Shuler
• Joel D Shuy, PSY.D
• Latonia Simmons, MA, CWCM, LMHC
• Nadya Simpson, PHARMD
• Monique L Skarphol, COTA
• Sky Limits 75 Inc (ATCB Health services)
• Jacqueline Parthenia Small Darville
• Janice Cramer Smith, LMHC
• Ronald Smith Jr.
• Karen J Snyder, RPH

• In Home Supportive Care Agency in Cocoa, FL
• Providers in Cocoa, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.