Sky Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SKY HOSPICE INC

Doing business as

Arizona Life Hospice - Maricopa

Practice address

4824 E Baseline Rd Ste 133
Mesa, AZ 85206-4680

Phone

(480) 708-0829

Fax

(480) 556-1403

NPI assigned

Dec 22, 2020

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Balsz

Title

Cco

Phone

(480) 708-0829

Specialties & licenses 1

Addresses

Other names 1

• Arizona Life Hospice - Maricopa Doing business as

Listed as

Arizona Life HospiceCCN 031728

Ownership

For-Profit

Certified

Mar 21, 2021

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Randolph A Clark, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1568456036

  Hospice

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1922695121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 133",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064680",
            "telephone_number": "480-708-0829",
            "fax_number": "480-556-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 133",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064680",
            "telephone_number": "480-708-0829",
            "fax_number": "480-556-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "BALSZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "480-708-0829"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Life Hospice - Maricopa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Louise Skoczen
• Mikel W Skousen, DO
• Paul O Skousen, CRNA
• Ashley Rose Skoyen, PA-C
• Laura Michele Skrocki, DO
• Sky King Development LLC
• Skybridge Harmony Homes
• Skylimit Solutions LLC
• Skyline Physical Therapy, Aquatics and Rehab Specialists
• Skyline Physical Therapy, Aquatics and Rehab Specialists

• Community Based Hospice Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.