SKY RESIDENTIAL SERVICES, INC
NPI 1821241464
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in New Berlin, WI

NPI Status: Active since October 28, 2008

Contact Information

2405 S BROOKSIDE PKWY
NEW BERLIN, WI
ZIP 53151
Phone: (414) 916-2710

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 52D1059400
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-27-2026

About SKY RESIDENTIAL SERVICES, INC

This page provides the complete NPI Profile along with additional information for Sky Residential Services, Inc, a provider established in New Berlin, Wisconsin operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1821241464 assigned on October 2008. The practitioner's primary taxonomy code is 320900000X with license number DSL293 (WI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's former legal business name is Brookside, Inc. The authorized official of this NPI record is Kim Nguyen (Cfo/secretary)

NPI
1821241464
Provider Legal Name
SKY RESIDENTIAL SERVICES, INC
Other Organization Name
BROOKSIDE, INC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2405 S BROOKSIDE PKWY NEW BERLIN, WI 53151
Location Phone
(414) 916-2710
Mailing Address
N94W20846 SCHLEI RD MENOMONEE FALLS, WI 53051
Mailing Phone
(414) 916-2710
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2008
Last Update Date
10-28-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
DSL293
License State
WI
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM NGUYEN

Authorized Official Title
CFO/SECRETARY
Authorized Official Phone
(414) 916-2710

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D1059400
Facility Type
Assisted Living Facility
Certificate Effective Date
September 28, 2024
Certificate Expiration Date
September 27, 2026
Laboratory Director
MS. KIM D. NGUYEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sky Residential Services, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821241464, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 4 + 4 + 2 + 4 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1821241464.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821241464, enumerated as an "organization" on October 28, 2008.

The provider is located at 2405 S BROOKSIDE PKWY NEW BERLIN, WI 53151 and the phone number is (414) 916-2710.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.