Skyway House, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

040006CN Issued in CA

Legal business name

SKYWAY HOUSE, LLC

Practice address

6000 Cohasset Rd
Chico, CA 95973-8861

Phone

(530) 893-3698

Fax

(530) 893-3748

NPI assigned

Jul 15, 2015

Organization subpart

Yes

Parent organization

ACADIA HEALTHCARE COMPANY, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Jennifer Carvalho

Title

Ceo

Phone

(530) 898-8326

Specialties & licenses 1

Addresses

Tax ID family

Skyway House LLC2 organizations share this tax ID, including this one

Part of

Haven Behavioral Healthcare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Skyway House, LLC

  • Substance Abuse Rehabilitation Facility
  • Chico, CA
  • NPI 1770967218
  NPD tax ID

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1497139935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LANDING CIR STE 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959737901",
            "telephone_number": "530-898-8326",
            "fax_number": "530-898-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959738861",
            "telephone_number": "530-893-3698",
            "fax_number": "530-893-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYWAY HOUSE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CARVALHO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-898-8326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "040006CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jen Skinner
• Kelley Suzanne Skinner, RN
• Skypark Walk-in Medical Center
• Skyway House
• Skyway House, Inc.
• Skyway House, LLC
• Skyway Surgery Center. LLC
• Marilyn E Slater, NPF
• Rachael Malene Slater, DPT
• Susan Slater

• Substance Abuse Rehabilitation Facility in Chico, CA
• Providers in Chico, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.