Active NPI
Skylight Gardens
- Home Health Agency
- Saint Cloud, MN
National Provider Identifier
1235365271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 343548
- Legal business name
- SKYLIGHT GARDENS
- Practice address
- 501 1St St N
Saint Cloud, MN 56303-4705 - Phone
- (320) 259-4584
- Fax
- (320) 259-6159
- NPI assigned
- Jun 4, 2009
- 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
- Michelle Lynn Mace
- Title
- Community Manager
- Phone
- (320) 259-4584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 343548 | MN | Primary |
Addresses
Primary practice location
501 1St St N
Saint Cloud, MN 56303-4705
Mailing address
501 1St St N
Saint Cloud, MN 56303-4705
Phone (320) 259-4584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M344318300 | Medicaid | MN |
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 |
|---|---|---|---|
| 24D1097556 | Skylight Gardens | Certificate of waiver | Mar 29, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244073600000",
"number": "1235365271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 1ST ST N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563034705",
"telephone_number": "320-259-4584",
"fax_number": "320-259-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 1ST ST N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563034705",
"telephone_number": "320-259-4584",
"fax_number": "320-259-6159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLIGHT GARDENS",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A",
"authorized_official_last_name": "MACE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "COMMUNITY MANAGER",
"authorized_official_telephone_number": "320-259-4584"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "343548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M344318300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.