NPIMap

Organization Active NPI

Skyway House, LLC

  • Substance Abuse Rehabilitation Facility
  • Chico, CA
National Provider Identifier
1770967218
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
040006GN Issued in CA
Legal business name
SKYWAY HOUSE, LLC
Practice address
3105 Esplanade
Chico, CA 95973-0202
Phone
(530) 342-3046
Fax
(530) 342-1756
NPI assigned
Jul 15, 2015
Organization subpart
Yes
Parent organization
ACADIA HEALTHCARE COMPANY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 040006GN CA Primary

Addresses

Primary practice location

3105 Esplanade
Chico, CA 95973-0202

Mailing address

40 Landing Cir Ste 1
Chico, CA 95973-7901
Phone (530) 898-8326

National Provider Directory

National Provider Directory
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.

Locations

3105 Esplanade
Chico, CA 95973
Phone (530) 342-3046

Practitioners & affiliated clinicians

Practitioners 3

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": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1770967218",
    "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": "3105 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730202",
            "telephone_number": "530-342-3046",
            "fax_number": "530-342-1756"
        }
    ],
    "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": "040006GN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • 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.