Provider Demographics
NPI:1356827281
Name:SKY LIMITS 75 INC
Entity Type:Organization
Organization Name:SKY LIMITS 75 INC
Other - Org Name:ATCB HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTWON
Authorized Official - Middle Name:MONTAE
Authorized Official - Last Name:TRICE
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIALIST
Authorized Official - Phone:843-655-5860
Mailing Address - Street 1:950 N COCOA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-7582
Mailing Address - Country:US
Mailing Address - Phone:184-365-5586
Mailing Address - Fax:321-632-0673
Practice Address - Street 1:950 N COCOA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-7582
Practice Address - Country:US
Practice Address - Phone:184-365-5586
Practice Address - Fax:321-632-0673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211419251E00000X, 251S00000X
251J00000X, 251S00000X, 253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care