Provider Demographics
NPI:1093313991
Name:SKYNET HOME CARE AGENCY INC
Entity Type:Organization
Organization Name:SKYNET HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:KONLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-788-2533
Mailing Address - Street 1:775 CONCOURSE VLG E APT 4D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3939
Mailing Address - Country:US
Mailing Address - Phone:347-788-2533
Mailing Address - Fax:
Practice Address - Street 1:775 CONCOURSE VLG E APT 4D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3939
Practice Address - Country:US
Practice Address - Phone:347-788-2533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty