Organization Active NPI

Skylight Health Group Co LLC

  • Primary Care Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1376114769
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SKYLIGHT HEALTH GROUP CO LLC
Practice address
3100 N Academy Blvd Ste 211
Colorado Springs, CO 80917-5332
Phone
(719) 301-7162
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Stephanie Gluchacki
Title
SVP Compliance
Phone
(508) 689-9706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3100 N Academy Blvd Ste 211
Colorado Springs, CO 80917-5332

Mailing address

82 Hartwell St Unit 2
Fall River, MA 02721-3025
Phone (150) 868-9970

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1376114769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 HARTWELL ST UNIT 2",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213025",
            "telephone_number": "150-868-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD STE 211",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175332",
            "telephone_number": "719-301-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLIGHT HEALTH GROUP CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "GLUCHACKI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SVP COMPLIANCE",
        "authorized_official_telephone_number": "508-689-9706"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.