Active NPI
Skillzrus LLC
- Home Health Agency
- Wilmington, DE
National Provider Identifier
1912593500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SKILLZRUS LLC
- Doing business as
- Skillzrus LLC
- Practice address
- 2218 N Market St
Wilmington, DE 19802-4248 - Phone
- (267) 234-3333
- NPI assigned
- Dec 17, 2020
- Last updated
- Apr 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sade Davis
- Title
- Ceo
- Phone
- (267) 234-3333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Assisted Living Facility | 310400000X | NU | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Customized Equipment (DME) | 332BC3200X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | ||
| Meals Provider | 174200000X | NU |
Addresses
Primary practice location
2218 N Market St
Wilmington, DE 19802-4248
Mailing address
2218 N Market St
Wilmington, DE 19802-4248
Phone (267) 234-3333
Other practice location 1
2414 N Garnet St
Philadelphia, PA 19132-3725
Phone (267) 234-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174156012 | Other | PA | NPI NUMBER |
Other names 1
- Skillzrus LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Philadelphia, PA
- NPI 1174156012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651017600000",
"number": "1912593500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 N MARKET ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198024248",
"telephone_number": "267-234-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 N MARKET ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198024248",
"telephone_number": "267-234-3333"
}
],
"practiceLocations": [
{
"address_1": "2414 N Garnet St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191323725",
"country_code": "US",
"telephone_number": "267-234-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SKILLZRUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-17",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SADE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-234-3333"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1174156012",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Skillzrus LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Skillzrus LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.