Provider Demographics
NPI:1467837021
Name:SKYCARE SERVICES LLC
Entity Type:Organization
Organization Name:SKYCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUIANA
Authorized Official - Middle Name:MESHELL
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-852-2309
Mailing Address - Street 1:193 MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HTS
Mailing Address - State:VA
Mailing Address - Zip Code:24572-2527
Mailing Address - Country:US
Mailing Address - Phone:201-852-2309
Mailing Address - Fax:
Practice Address - Street 1:193 MORGAN RD
Practice Address - Street 2:
Practice Address - City:MADISON HTS
Practice Address - State:VA
Practice Address - Zip Code:24572-2527
Practice Address - Country:US
Practice Address - Phone:201-852-2309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251B00000XAgenciesCase Management