SKYLINE ASSISTED LIVING LLC
NPI 1205433638
Assisted Living Facility in Van Buren, MO
About Skyline Assisted Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKYLINE ASSISTED LIVING LLC (NPI 1205433638) is a healthcare organization registered as an assisted living facility in Van Buren, Missouri and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Jeff E Newman, Administrator / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D2126506
Skyline Assisted Living · Van Buren, MOFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Skyline Assisted Living LLC's NPI number?
The NPI number for Skyline Assisted Living LLC is 1205433638. It was assigned to this organization in the NPPES registry on October 8, 2020.
Where is Skyline Assisted Living LLC located?
Skyline Assisted Living LLC is located at 100 Hard Rock Rd, Van Buren, MO 63965. The listed phone number is (573) 778-2499.
What is Skyline Assisted Living LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Skyline Assisted Living LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2126506) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Skyline Assisted Living LLC was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Skyline Assisted Living Llc · NPI 1205433638
Assisted Living Facility organization in Van Buren, Missouri. Organization record, active in the CMS NPPES registry since October 8, 2020.
## Identity
- **NPI:** 1205433638 (Entity type: Organization)
- **Enumerated:** October 8, 2020
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Jeff Newman, ADMINISTRATOR / OWNER
## Practice location
- **Address:** 100 HARD ROCK RD, Van Buren, MO 63965-0780
- **Phone:** (573) 778-2499
## Record status
- **NPPES last updated:** October 8, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205433638) · Data from the CMS NPPES public registry.