Organization Active NPI

Sky Casa LLC

  • In Home Supportive Care Agency
  • Manhattan Beach, CA
National Provider Identifier
1366105454
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SKY CASA LLC
Practice address
1112 Ocean Dr Ste 102B
Manhattan Beach, CA 90266-5402
Phone
(424) 254-3438
Fax
(424) 254-2285
NPI assigned
Oct 15, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Oluwafemi Thompson
Title
President
Phone
(424) 254-3438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1112 Ocean Dr Ste 102B
Manhattan Beach, CA 90266-5402

Mailing address

1112 Ocean Dr Ste 102B
Manhattan Beach, CA 90266-5402
Phone (424) 254-3438

National Provider Directory

National Provider Directory

Locations

1112 Ocean Dr
Ste 102B
Manhattan Beach, CA 90266
Phone (424) 254-3438

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1366105454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 OCEAN DR STE 102B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665402",
            "telephone_number": "424-254-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 OCEAN DR STE 102B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665402",
            "telephone_number": "424-254-3438",
            "fax_number": "424-254-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY CASA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "OLUWAFEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-254-3438"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.