Healthcare Provider Details

I. General information

NPI: 1194867655
Provider Name (Legal Business Name): SKYLINE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 N 4TH ST
CLINTON IA
52732-1840
US

IV. Provider business mailing address

2600 N 4TH ST
CLINTON IA
52732-1840
US

V. Phone/Fax

Practice location:
  • Phone: 563-243-4065
  • Fax: 563-243-9901
Mailing address:
  • Phone: 563-243-4065
  • Fax: 563-243-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRANDON RUMLER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 563-243-4065