SKYLINE ASSISTED LIVING LLC (NPI# 1205433638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205433638 |
| Entity Type | Organization |
| Organization Name | SKYLINE ASSISTED LIVING LLC |
| Practice Address |
100 Hard Rock Rd Van Buren MO 63965-0780 |
| Mailing Address |
Po Box 780 Van Buren MO 63965-0780 |
| Practice Telephone | 5737782499 |
| Mailing Telephone | 5737782499 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | JEFF E NEWMAN (ADMINISTRATOR / OWNER) |
| Authorized Official Telephone | 5737782499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
100 HARD ROCK RD |
| City | VAN BUREN |
| State | MO |
| Zip Code | 63965-0780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390396 | Daya Krumenacker | Behavior Technician | 1011 Old Business Highway 60, Van Buren, MO 63965 | 2018-06-19 |
| 1396196234 | Pryor Family Dental, LLC | Dentist | 511 W Elsie St, Van Buren, MO 63965 | 2016-06-22 |
| 1902160302 | Christina Ann Pryor | Dentist | 511 West Elsie Street, Van Buren, MO 63965 | 2012-06-29 |
| 1750563607 | Melissa Lynn Meloy | Counselor | 1011 B Main Street, Van Buren, MO 63965 | 2007-12-03 |
| 1437343019 | Melissa L Christian | Nurse Practitioner | 1009 Main Street, Vanburen, MO 63965 | 2007-08-28 |
| 1376662460 | Stephen Henry Herbst | Chiropractor | 206 Ash Street, Van Buren, MO 63965 | 2007-03-28 |
| 1285758698 | Ryan Clarke Vanwinkle | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2007-03-19 |
| 1568577740 | Gary Guy Tuttle | Dentist | 511 West Elsie St., Van Buren, MO 63965 | 2006-08-20 |
| 1306191036 | Angela Kimberly Kearbey | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-07-18 |
| 1477824274 | Andrea Foerster | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-01-25 |
| Find all providers in zip 63965 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902020043 | Hope's Creek Inc. | Assisted Living Facility | 2502 Fayetteville Rd, Van Buren, AR 72956-6521 | 2007-04-12 |
| 1366506347 | Borderview Holdings Corp | Assisted Living Facility | 208 State St, Van Buren, ME 04785-1618 | 2006-12-21 |
| 1477632164 | Current River Manor R.c.f. and D.m.h. Group Home | Assisted Living Facility | M Hwy., Van Buren, MO 63965-0447 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820283 | Oak Meadows Rcf LLC | Assisted Living Facility | 5502 Misty Meadow Rd, Poplar Bluff, MO 63901-9287 | 2020-10-28 |
| 1700486859 | Hillcrest Residential Care | Assisted Living Facility | 9415 N North Browns Station Rd, Columbia, MO 65202-8671 | 2020-10-28 |
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1023615622 | Four Seasons Care Corp | Assisted Living Facility | 230 Railroad St, Moscow Mills, MO 63362-1600 | 2020-10-06 |
| 1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
| 1366053480 | Green Acres Assisted Living LLC | Assisted Living Facility | 411 N Kings Highway, Sikeston, MO 63801-1936 | 2020-08-12 |
| 1467062612 | Welcome Home Assisted Living, LLC | Assisted Living Facility | 5 Adams Dr, Dexter, MO 63841-1985 | 2020-08-03 |
| 1831725142 | Harmony Gardens Residential, LLC | Assisted Living Facility | 539 E Young Ave, Warrensburg, MO 64093-1228 | 2020-03-18 |
| 1386278414 | Family Partners Home LLC | Assisted Living Facility | 232 Creve Coeur Ave, Manchester, MO 63011-4040 | 2020-02-27 |
| 1710517701 | Peachwood Manor, LLC | Assisted Living Facility | 15895 State Highway 76, Cassville, MO 65625-8098 | 2020-01-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.