Provider Demographics
NPI:1508376443
Name:SKY HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:SKY HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VARTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-206-4250
Mailing Address - Street 1:459 W BROADWAY STE 8
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1228
Mailing Address - Country:US
Mailing Address - Phone:818-206-4250
Mailing Address - Fax:818-857-5414
Practice Address - Street 1:459 W BROADWAY STE 8
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1228
Practice Address - Country:US
Practice Address - Phone:818-206-4250
Practice Address - Fax:818-857-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health