Skyywell Health Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SKYYWELL HEALTH INC

Practice address

1033 Hazelmist Dr
Wake Forest, NC 27587-9254

Phone

(984) 292-4515

NPI assigned

Dec 30, 2022

Organization subpart

No

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

Authorized official

Name

Lisa BraswellNPI 1467165928

Title

Director

Phone

(252) 484-8260

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Braswell

  • Mental Illness Community Based Residential Treatment Facility
  • Wake Forest, NC
  • NPI 1467165928

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1790498152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 FALLS OF NEUSE RD STE 106B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156810",
            "telephone_number": "984-292-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 HAZELMIST DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879254",
            "telephone_number": "984-292-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 Falls Of Neuse Rd Ste 106B",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156810",
            "country_code": "US",
            "telephone_number": "984-292-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKYYWELL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-484-8260"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Angeli Skelly, RD, MS, LDN
• Krystle Murphy Skelton, M.A., CCC-SLP
• Gary S Skinner, LCSW
• Celina May Skrtich
• Skys Infusion & Healthcare Services PLLC
• Sleepmed Therapies Inc.
• Claudette E Smith-Brown, FNP
• Bailey Lane Smith, MSW, LCSWA
• Elizabeth Yopp Smith, MS, CCC-SLP
• Heather Jeziorski Smith, DPT

• Mental Illness Community Based Residential Treatment Facility in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.