Organization Active NPI

Sky Healthcare LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1407576309
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKY HEALTHCARE LLC
Practice address
1409 Washington Ave Ste 407
Saint Louis, MO 63103-1917
Phone
(314) 285-3309
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Imani Denton
Title
Executive Director
Phone
(314) 285-3309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1409 Washington Ave Ste 407
Saint Louis, MO 63103-1917

Mailing address

1409 Washington Ave Ste 407
Saint Louis, MO 63103-1917

National Provider Directory

National Provider Directory

Locations

1409 Washington Ave
Ste 407
Saint Louis, MO 63103
Phone (314) 285-3309

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1407576309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WASHINGTON AVE STE 407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031917",
            "telephone_number": "314-285-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "IMANI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-285-3309"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.