Sedona Sky Opco LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SEDONA SKY OPCO LLC

Doing business as

Sedona Sky Academy

Practice address

3090 E Coronado TRL
Rimrock, AZ 86335-5283

Phone

(928) 567-1322

NPI assigned

Aug 23, 2022

Last updated

Nov 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Smith

Title

Executive Director

Phone

(855) 988-9111

Specialties & licenses 2

Addresses

Other names 1

• Sedona Sky Academy Doing business as

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1700505872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 E CORONADO TRL",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863355283",
            "telephone_number": "312-485-5680",
            "fax_number": "928-371-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 E CORONADO TRL",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863355283",
            "telephone_number": "928-567-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3095 E Coronado Trl",
            "address_purpose": "LOCATION",
            "city": "Rimrock",
            "state": "AZ",
            "postal_code": "863355284",
            "country_code": "US",
            "telephone_number": "928-567-1322",
            "fax_number": "928-567-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEDONA SKY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "855-988-9111"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedona Sky Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sedona Sky Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in Rimrock, AZ
• Providers in Rimrock, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.