Organization Active NPI

Skyline Medical Equipment LLC

  • Oxygen Equipment & Supplies (DME)
  • Paintsville, KY
National Provider Identifier
1750576484
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SKYLINE MEDICAL EQUIPMENT LLC
Practice address
818 S Mayo TRL
Paintsville, KY 41240-1384
Phone
(606) 789-7730
Fax
(606) 789-1028
NPI assigned
Sep 6, 2007
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Ms. Patricia Nelson
Title
Admin
Phone
(606) 789-7730

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

818 S Mayo TRL
Paintsville, KY 41240-1384

Mailing address

818 S Mayo TRL
Paintsville, KY 41240-1384
Phone (606) 789-7730

Other identifiers 2

IdentifierTypeStateIssuer
7100026940MedicaidKY
000000542106OtherKYANTHEM BCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1750576484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401384",
            "telephone_number": "606-789-7730",
            "fax_number": "606-789-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401384",
            "telephone_number": "606-789-7730",
            "fax_number": "606-789-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "606-789-7730",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100026940",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000542106",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.