Organization Active NPI

Skylight Support Services

  • In Home Supportive Care Agency
  • Irvington, NJ
National Provider Identifier
1467011999
Registry record updated Jun 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SKYLIGHT SUPPORT SERVICES
Practice address
24 Temple PL
Irvington, NJ 07111-2911
Phone
(908) 967-3051
Fax
(973) 314-4064
NPI assigned
Jun 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2019

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

Authorized official

Name
Grace IgbinobaNPI 1366907016
Title
Director
Phone
(908) 967-3051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

24 Temple PL
Irvington, NJ 07111-2911

Mailing address

24 Temple PL
Irvington, NJ 07111-2911
Phone (908) 967-3051

Other identifiers 1

IdentifierTypeStateIssuer
0450347228MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560038400000",
    "number": "1467011999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 TEMPLE PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112911",
            "telephone_number": "908-967-3051",
            "fax_number": "973-314-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 TEMPLE PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112911",
            "telephone_number": "908-967-3051",
            "fax_number": "973-314-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLIGHT SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A",
        "authorized_official_last_name": "IGBINOBA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-967-3051"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450347228",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.