Provider Demographics
NPI:1487225561
Name:SKILLED SERVICES HOME HEALTH
Entity Type:Organization
Organization Name:SKILLED SERVICES HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEKSANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-616-1052
Mailing Address - Street 1:17200 VENTURA BLVD STE 128
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-5028
Mailing Address - Country:US
Mailing Address - Phone:818-616-1052
Mailing Address - Fax:818-616-1054
Practice Address - Street 1:17200 VENTURA BLVD STE 128
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-5028
Practice Address - Country:US
Practice Address - Phone:818-967-0386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health