SKT Homes LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

SKT HOMES LLC

Practice address

9316 Appalachian Dr
Sacramento, CA 95827-1105

Phone

(916) 591-0426

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Kim Tiller

Title

Licensee/Administrator

Phone

(916) 591-0426

Specialties & licenses 2

Addresses

Other names 1

• The Vintage Farmhouse Doing business as

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1124808423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9316 APPALACHIAN DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9316 APPALACHIAN DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271105",
            "telephone_number": "916-591-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKT HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-591-0426"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vintage Farmhouse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivy Skinner
• Lee Robert Skogan, D.P.T.
• Jeanne Skondin, LVN
• Kathryn Paden Skrabo
• John Skratt, MD
• Sky Park Gardens Assisted Living
• Kristin Sky
• Frank Norman Slachman, M.D.
• Davian Slack
• Alan Irving Sladky, O.D.

• Nursing Home Administrator in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Nursing Home Administrator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.