Provider Demographics
NPI:1043076961
Name:SKYE HEALTH OF HOOVER LLC
Entity type:Organization
Organization Name:SKYE HEALTH OF HOOVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:HANK
Authorized Official - Middle Name:HARRINGTON
Authorized Official - Last Name:LAVALLET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-999-9899
Mailing Address - Street 1:3659 LORNA RD STE 113
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5958
Mailing Address - Country:US
Mailing Address - Phone:205-783-5995
Mailing Address - Fax:205-783-5997
Practice Address - Street 1:3659 LORNA RD STE 113
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5958
Practice Address - Country:US
Practice Address - Phone:205-783-5995
Practice Address - Fax:205-783-5997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care