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SKYSTAR RESIDENTIAL SERVICES
NPI 1396100269
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in De Soto, IL

Active since December 21, 2015
406 E DOUGLAS ST, DE SOTO, IL 62924(618) 867-3188(618) 867-3098 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Skystar Residential Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKYSTAR RESIDENTIAL SERVICES (NPI 1396100269) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in De Soto, Illinois and active in the NPI registry since December 2015. The organization lists Randall S Duncan, Ed, as its authorized official.

NPPES Registry Identity

NPI1396100269
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSKYSTAR RESIDENTIAL SERVICES
Location Address406 E DOUGLAS STDe Soto, IL 62924-1516
Mailing Address406 East DouglasDesoto, IL 62924 · (618) 867-3188 · Fax (618) 867-3098
Phone(618) 867-3188
Fax(618) 867-3098
Organization SubpartNo
Authorized OfficialRandall S DuncanEd · (618) 867-3188
Enumeration DateDecember 21, 2015
✔ NPI 1396100269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in IL · 099600004S
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

406 E DOUGLAS ST, De Soto, IL 62924
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Frequently 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 Skystar Residential Services's NPI number?

The NPI number for Skystar Residential Services is 1396100269. It was assigned to this organization in the NPPES registry on December 21, 2015.

Where is Skystar Residential Services located?

Skystar Residential Services is located at 406 E Douglas St, De Soto, IL 62924. The listed phone number is (618) 867-3188.

What is Skystar Residential Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Skystar Residential Services was last updated on December 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.