Organization Active NPI

Sky Neurological Rehabilitation LLC

Doing business as SKY Neurological Rehabilitation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Annapolis, MD
National Provider Identifier
1912952888
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
214529 Issued in MD
Legal business name
SKY NEUROLOGICAL REHABILITATION LLC
Doing business as
SKY Neurological Rehabilitation
Practice address
190 Admiral Cochrane Dr
Suite 180
Annapolis, MD 21401-7365
Phone
(410) 571-6411
Fax
(410) 571-6415
NPI assigned
May 22, 2006
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Mrs. Yvette Rene Valiente
Title
Chief Operations Officer
Phone
(410) 571-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 214529 MD Primary

Addresses

Primary practice location

190 Admiral Cochrane Dr
Suite 180
Annapolis, MD 21401-7365

Mailing address

190 Admiral Cochrane Dr
Suite 180
Annapolis, MD 21401-7365
Phone (410) 571-6411

Other names 1

  • SKY Neurological Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

190 Admiral Cochrane Dr
Ste 180
Annapolis, MD 21401
Phone (410) 571-6411

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1912952888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ADMIRAL COCHRANE DR",
            "address_2": "SUITE 180",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017365",
            "telephone_number": "410-571-6411",
            "fax_number": "410-571-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ADMIRAL COCHRANE DR",
            "address_2": "SUITE 180",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017365",
            "telephone_number": "410-571-6411",
            "fax_number": "410-571-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY NEUROLOGICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "VALIENTE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "410-571-6411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MD",
            "license": "214529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKY Neurological Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.