Organization Active NPI

Skye Canyon Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1235952557
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKYE CANYON HOME HEALTH LLC
Practice address
4660 S Eastern Ave Ste 108-B
Las Vegas, NV 89119-6137
Phone
(725) 800-8977
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
So Y Clinton
Title
Manager
Phone
(725) 800-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4660 S Eastern Ave Ste 108-B
Las Vegas, NV 89119-6137

Mailing address

4660 S Eastern Ave Ste 108-B
Las Vegas, NV 89119-6137
Phone (725) 800-8977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1235952557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 108-B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196137",
            "telephone_number": "725-800-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 108-B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196137",
            "telephone_number": "725-800-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYE CANYON HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "SO",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "725-800-8977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.