Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Skyfall Residential Homes

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1780259663

Skyfall Residential Homes is a Substance Use Disorder Rehabilitation Clinic/Center in Toledo, Ohio. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

636 Waverly Ave
Toledo, OH 43607-3836
Phone: (419) 214-9302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1780259663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthonyesha Fagan — Owner · (419) 214-9302
NPI enumeratedMay 24, 2021
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address636 Waverly Ave, Toledo, OH 43607-3836

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