Organization Active NPI

Skyhawk Healthcare & Residence LLC

  • In Home Supportive Care Agency
  • Cleveland, OH
National Provider Identifier
1396574075
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SKYHAWK HEALTHCARE & RESIDENCE LLC
Practice address
5815 Landerbrook Dr
Cleveland, OH 44124-7900
Phone
(786) 372-1223
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Akeem Wilson
Title
Owner
Phone
(786) 372-1223

Specialties & licenses 1

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

Addresses

Primary practice location

5815 Landerbrook Dr
Cleveland, OH 44124-7900

Mailing address

5815 Landerbrook Dr
Cleveland, OH 44124-7900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1396574075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 LANDERBROOK DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441247900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 LANDERBROOK DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441247900",
            "telephone_number": "786-372-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYHAWK HEALTHCARE & RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AKEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-372-1223"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.