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SKYFALL RESIDENTIAL HOMES
NPI 1962077842
Clinic/Center - Mental Health (Including Community Mental Health Center) in Toledo, OH

Active since May 24, 2021
636 WAVERLY AVE, TOLEDO, OH 43607(419) 214-9302 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skyfall Residential Homes NPPES

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

SKYFALL RESIDENTIAL HOMES (NPI 1962077842) is a healthcare organization registered as a mental health (including community mental health center) in Toledo, Ohio and active in the NPI registry since May 2021. The organization lists Anthonyesha Fagan, Owner, as its authorized official.

NPPES Registry Identity

NPI1962077842
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSKYFALL RESIDENTIAL HOMES
Location Address636 WAVERLY AVEToledo, OH 43607-3836
Mailing Address636 Waverly AveToledo, OH 43607-3836
Phone(419) 214-9302
Organization SubpartNo
Authorized OfficialAnthonyesha FaganOwner · (419) 214-9302
Enumeration DateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1962077842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
636 WAVERLY AVE, Toledo, OH 43607
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORTNEY COLEMAN
Case Manager/Care Coordinator
636 WAVERLY AVE
TOLEDO, OH 43607
Lucas County (419) 705-9168
DEVONNE FAGAN
Case Manager/Care Coordinator
636 WAVERLY AVE
TOLEDO, OH 43607
Lucas County (419) 214-9302
TIFFANY ALEXANDER QMHS
Case Manager/Care Coordinator
636 WAVERLY AVE
TOLEDO, OH 43607
Lucas County (419) 214-9302
SHANTORIA LAQUALE WHITTINGTON
Case Manager/Care Coordinator
636 WAVERLY AVE
TOLEDO, OH 43607
Lucas County (419) 205-9168
BRITTNEY DAWSON QMHS
Case Manager/Care Coordinator
636 WAVERLY AVE
TOLEDO, OH 43607
Lucas County (419) 214-9302
WENDY MORRIS
Case Manager/Care Coordinator
636 WAVERLY AVE
TOLEDO, OH 43607
Lucas County (419) 214-9302
TERRELL FORD QMHS
Case Manager/Care Coordinator
636 WAVERLY AVE
TOLEDO, OH 43607
Lucas County (419) 214-9302
SKYFALL RESIDENTIAL HOMES
Clinic/Center (Rehabilitation, Substance Use Disorder)
636 WAVERLY AVE
TOLEDO, OH 43607
Lucas County (419) 214-9302

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 Skyfall Residential Homes's NPI number?

The NPI number for Skyfall Residential Homes is 1962077842. It was assigned to this organization in the NPPES registry on May 24, 2021.

Where is Skyfall Residential Homes located?

Skyfall Residential Homes is located at 636 Waverly Ave, Toledo, OH 43607. The listed phone number is (419) 214-9302.

What is Skyfall Residential Homes's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Skyfall Residential Homes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Skyfall Residential Homes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Skyfall Residential Homes was last updated on May 24, 2021. 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.