Active NPI
Skylight Health Group Co LLC
- Primary Care Clinic/Center
- Colorado Springs, CO
National Provider Identifier
1376114769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.