Organization Active NPI

Skyddacare, LLC

  • In Home Supportive Care Agency
  • Freehold, NJ
National Provider Identifier
1124515085
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SKYDDACARE, LLC
Practice address
4400 Route 9 S Ste 1000
Freehold, NJ 07728-1383
Phone
(732) 409-5126
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dolores Richards, MBA, BSN, RN, CCM
Title
Co-Founder and Chair of Clinical Op
Phone
(732) 786-4441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4400 Route 9 S Ste 1000
Freehold, NJ 07728-1383

Mailing address

4400 Route 9 S Ste 1000
Freehold, NJ 07728-1383
Phone (732) 409-5126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1124515085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 ROUTE 9 S STE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281383",
            "telephone_number": "732-409-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ROUTE 9 S STE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281383",
            "telephone_number": "732-409-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYDDACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "CO-FOUNDER AND CHAIR OF CLINICAL OP",
        "authorized_official_telephone_number": "732-786-4441",
        "authorized_official_credential": "MBA, BSN, RN, CCM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.