Provider Demographics
NPI:1376203091
Name:SKY HEALTH NV
Entity Type:Organization
Organization Name:SKY HEALTH NV
Other - Org Name:SKY HEALTH NV LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTLARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-861-3989
Mailing Address - Street 1:4385 N PECOS RD STE 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-2105
Mailing Address - Country:US
Mailing Address - Phone:702-840-7899
Mailing Address - Fax:702-476-9951
Practice Address - Street 1:4385 N PECOS RD STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-2105
Practice Address - Country:US
Practice Address - Phone:702-840-7899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty