SKYWAY HOUSE (SKYWAY HOUSE, INC.) NPI 1003032517

Substance Abuse Rehabilitation Facility in Chico, CA

NPI 1003032517 Organization Substance Abuse Rehabilitation Facility

About SKYWAY HOUSE (SKYWAY HOUSE, INC.)

Skyway House (skyway House, Inc.) is a provider established in Chico, California specializing in substance abuse rehabilitation facility. The NPI number of Skyway House (skyway House, Inc.) is 1003032517 and was assigned on April 2007. The practitioner's primary taxonomy code is 324500000X with license number 040006GN (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Skyway House. The authorized official of this NPI record is Mr. David Wayne Deichler, Sudcc Ii, Csc Sudcc Ii, Csc (Executive Director)

NPI

1003032517

Provider NameSKYWAY HOUSE (SKYWAY HOUSE, INC.)
Provider Location Address392 CONNORS CT STE C CHICO, CA 95926
Provider Mailing Address392 CONNORS CT STE C CHICO, CA 95926
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSKYWAY HOUSE
Other Name TypeDoing Business As (3)
Enumeration Date04-17-2007
Last Update Date01-07-2020


Primary Taxonomy

Taxonomy Code324500000X
ClassificationSubstance Abuse Rehabilitation Facility
TypeResidential Treatment Facilities
License No.040006GN
License StateCA
Taxonomy DescriptionA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Business Address

SKYWAY HOUSE
392 CONNORS CT STE C
CHICO, CA
ZIP 95926
Phone: (530) 898-8326
Fax: (530) 898-0239

Get Directions


Mailing Address

SKYWAY HOUSE
392 CONNORS CT STE C
CHICO, CA
ZIP 95926
Phone: (530) 898-8326
Fax: (530) 898-0239



Secondary Locations

3105 Esplanade
Chico, CA 95973
(530) 342-3046
392 Connors Ct Ste D
Chico, CA 95926
(530) 898-8326

Authorized Official

Authorized Official NameMR. DAVID WAYNE DEICHLER, SUDCC II, CSC SUDCC II, CSC
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(530) 898-9424

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility040006CNCANo

Taxonomy Description: a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility040006LNCANo

Taxonomy Description: a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164779898MR. DAVID WAYNE DEICHLER SUDCCII, CSC
Individual
Counselor (Addiction (Substance Use Disorder))392 CONNORS CT STE C
CHICO, CA 95926
(530) 898-9424

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.