Provider Demographics
NPI:1437839198
Name:SKYLIMIT SOLUTIONS LLC
Entity Type:Organization
Organization Name:SKYLIMIT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ED
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:N
Authorized Official - Last Name:KIBUUKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:267-777-0457
Mailing Address - Street 1:455 W BASELINE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-6006
Mailing Address - Country:US
Mailing Address - Phone:267-777-0457
Mailing Address - Fax:
Practice Address - Street 1:455 W BASELINE RD STE 108
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-6006
Practice Address - Country:US
Practice Address - Phone:267-777-0457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ58OtherASSISTED LIVING