Organization Active NPI

Skylyn LLC

Doing business as KidsLife Home Care

  • Home Health Agency
  • Richmond, TX
National Provider Identifier
1720516164
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKYLYN LLC
Doing business as
KidsLife Home Care
Practice address
19826 Amber Village LN
Richmond, TX 77407-4110
Phone
(412) 877-6900
Fax
(832) 449-3863
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Fnu Bande Ngum Mah Epse, RN
Title
Ceo/ Administrator
Phone
(412) 877-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19826 Amber Village LN
Richmond, TX 77407-4110

Mailing address

19826 Amber Village LN
Richmond, TX 77407-4110
Phone (412) 877-6900

Other names 1

  • KidsLife Home Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2180584Skylyn, LLC Dba Kidslife Home Care19826 Amber Village LN, Richmond, TX 77407Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720516164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19826 AMBER VILLAGE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074110",
            "telephone_number": "412-877-6900",
            "fax_number": "832-449-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19826 AMBER VILLAGE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074110",
            "telephone_number": "412-877-6900",
            "fax_number": "832-449-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BANDE NGUM MAH EPSE",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "412-877-6900",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidsLife Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.