Active NPI
Skyline Center Inc
- Community/Behavioral Health Agency
- Clinton, IA
National Provider Identifier
1194867655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SKYLINE CENTER INC
- Practice address
- 2600 N 4TH St
Clinton, IA 52732-1840 - Phone
- (563) 243-4065
- Fax
- (563) 243-9901
- NPI assigned
- Feb 13, 2007
- 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
- Brandon Rumler
- Title
- Executive Director
- Phone
- (563) 243-4065
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2600 N 4TH St
Clinton, IA 52732-1840
Mailing address
2600 N 4TH St
Clinton, IA 52732-1840
Phone (563) 243-4065
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0243410 | Other | IA | ARO |
| 0228700 | Other | IA | ARO |
| 0672949 | Medicaid | IA |
Other names 1
- Clinton Association for Daycare of Handicapped Children
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030620000035 | IA | Part A Provider - Home Health Agency | 9133039142 | Practice locations: Clinton, IA |
Home health agency certification: CCN 167294
- Legal name
- SKYLINE CENTER INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 13, 2004
- Last certification
- Dec 5, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- Nov 18, 1963 in IA
- Enrollment address
- 2600 N 4TH St
Clinton, IA 52732-1840
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Skyline Center Inc Home Health
- Ownership
- Non-Profit
- Certified
- Apr 13, 2004
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2197775 | Skyline Center, Inc | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
2600 N 4th St
Clinton, IA 52732
Phone (563) 243-4065
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Timothy J Cottle | Corporate Director | Jul 22, 2020 | |
| Natallie Fullick | W-2 Managing Employee | Jun 13, 2022 | |
| Brandon Rumler | Corporate Officer | Sep 13, 2022 | |
| Corporate Director | Sep 12, 2022 | ||
| Kara L Marr | Corporate Officer | Jul 1, 2021 | |
| Corporate Director | Jul 22, 2020 | ||
| David Bowman | Corporate Director | Jul 1, 2024 | |
| Kelli R Fuegen | Corporate Director | Jul 22, 2020 | |
| Richard J Phelan | Corporate Director | Jul 22, 2020 | |
| Ryan Melton | Corporate Director | Jul 1, 2024 | |
| Jessica Meggenberg | Corporate Director | Jul 1, 2024 | |
| Sue M Watkins | Corporate Director | Jul 1, 2019 | |
| Jennifer Lynn Holm | Corporate Director | Jul 22, 2020 | |
| Elizabeth SRP | Corporate Director | Jul 1, 2019 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1194867655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N 4TH ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527321840",
"telephone_number": "563-243-4065",
"fax_number": "563-243-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N 4TH ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527321840",
"telephone_number": "563-243-4065",
"fax_number": "563-243-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLINE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "RUMLER",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "563-243-4065"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARO",
"identifier": "0243410",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARO",
"identifier": "0228700",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0672949",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinton Association for Daycare of Handicapped Children",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.