Healthcare Provider Details

I. General information

NPI: 1437729068
Provider Name (Legal Business Name): SKYES THE LIMIT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2021
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 DEMPER DR
JACKSONVILLE FL
32208-4501
US

IV. Provider business mailing address

343 DEMPER DR
JACKSONVILLE FL
32208-4501
US

V. Phone/Fax

Practice location:
  • Phone: 904-274-9216
  • Fax:
Mailing address:
  • Phone: 904-274-9216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: D'ARCHA BENNETT
Title or Position: OWNER
Credential:
Phone: 904-274-9216