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

Active since October 28, 2008CLIA Certified · 2 labs
2405 S BROOKSIDE PKWY, NEW BERLIN, WI 53151(414) 916-2710 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sky Residential Services, Inc NPPES

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

SKY RESIDENTIAL SERVICES, INC (NPI 1821241464), doing business as Brookside, Inc, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in New Berlin, Wisconsin and active in the NPI registry since October 2008. The organization holds 2 active CLIA laboratory certificates and lists Kim Nguyen, Cfo/secretary, as its authorized official.

NPPES Registry Identity

NPI1821241464
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSKY RESIDENTIAL SERVICES, INC
Location Address2405 S BROOKSIDE PKWYNew Berlin, WI 53151-2905
Mailing AddressN94w20846 Schlei RdMenomonee Falls, WI 53051-1127 · (414) 916-2710
Organization SubpartNo
Authorized OfficialKim NguyenCfo/secretary · (414) 916-2710
Enumeration DateOctober 28, 2008
NPI 1821241464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in WI · DSL293
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2405 S BROOKSIDE PKWY, New Berlin, WI 53151

Other Names 1

Former Legal Business NameBrookside, Inc

CLIA Laboratory Certificates CMS CLIA 2

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 52D1059400

Sky Residential Brookside · New Berlin, WI
Active · expires Sep 27, 2026
CLIA Number52D1059400
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorMs. Kim D. Nguyen
Laboratory Phone(262) 821-1406
Laboratory LocationSky Residential Brookside2405 S Brookside Pkwy, New Berlin, WI 53151
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2003667

Sky Residential Franklin · Franklin, WI
Active · expires Feb 16, 2028
CLIA Number52D2003667
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorMs. Kim D. Nguyen
Laboratory Phone(414) 916-2710
Laboratory LocationSky Residential Franklin8104 S 35th St, Franklin, WI 53132
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sky Residential Services, Inc's NPI number?

The NPI number for Sky Residential Services, Inc is 1821241464. It was assigned to this organization in the NPPES registry on October 28, 2008. The provider was formerly known as Brookside, Inc.

Where is Sky Residential Services, Inc located?

Sky Residential Services, Inc is located at 2405 S Brookside Pkwy, New Berlin, WI 53151. The listed phone number is (414) 916-2710.

What is Sky Residential Services, Inc's specialty?

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

Does Sky Residential Services, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sky Residential Services, Inc was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.