Organization Active NPI

Skylight Gardens

  • Home Health Agency
  • Saint Cloud, MN
National Provider Identifier
1235365271
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
343548 Issued in MN
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

Updated by the provider on Jun 4, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
M344318300MedicaidMN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1097556Skylight Gardens501 1St St N, Saint Cloud, MN 56303Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.