Organization Active NPI

Skyys the Limitz

Doing business as Angels and Grace Provider Services

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1922763796
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SKYYS THE LIMITZ
Doing business as
Angels and Grace Provider Services
Practice address
841 Prudential Dr
Jacksonville, FL 32207-8329
Phone
(904) 651-0566
NPI assigned
Nov 5, 2021
Organization subpart
Yes
Parent organization
ANGELS AND GRACE PROVIDER SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Shantel Cutler
Title
Owner
Phone
(904) 651-0566

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

841 Prudential Dr
Jacksonville, FL 32207-8329

Mailing address

841 Prudential Dr
Jacksonville, FL 32207-8329
Phone (904) 651-0566

Other identifiers 4

IdentifierTypeStateIssuer
HOMECAREOtherFLHOME CARE
NURSEREGISTRYOtherNURSE REGISTRY
HOMEMAKERMedicaidFL
COMPANIONMedicaidFL

Other names 1

  • Angels and Grace Provider Services Doing business as

National Provider Directory

National Provider Directory
Part of
Skyys the Limitz

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1922763796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-651-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-651-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYYS THE LIMITZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELS AND GRACE PROVIDER SERVICES",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-651-0566"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "HOMECARE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE REGISTRY",
            "identifier": "NURSEREGISTRY",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOMEMAKER",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "COMPANION",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels and Grace Provider Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.