Skyline Under 21 LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SKYLINE UNDER 21 LLC

Practice address

3104 Camelot Blvd
Chesapeake, VA 23323-2501

Phone

(757) 348-5510

Fax

(757) 522-1954

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By 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

Christian Nicole LeonNPI 1740765312

Title

Executive Director

Phone

(757) 348-5510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christian Nicole Leon

  • Mental Health Counselor
  • Edina, MN
  • NPI 1740765312
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1184476160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ASBURY WAY",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306382",
            "telephone_number": "757-348-5510",
            "fax_number": "757-522-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 CAMELOT BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232501",
            "telephone_number": "757-348-5510",
            "fax_number": "757-522-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE UNDER 21 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-348-5510"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison C Skinner, MD
• Renee Marie Skinner, MA, LPC
• Amy Michelle Skorupa, MD
• Sladjana Skrba-Turkovic, DDS
• Skyline 21 LLC
• Robin G Slater
• Shannon Slattery, CCC
• Bridget L. Slaughter, OT/L
• Shellye Lerene Sledge, LCSW
• Sleep Disorder Centers of Hampton Roads,PC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.