Provider Demographics
NPI:1639670581
Name:SKEEN HOME CARE
Entity Type:Organization
Organization Name:SKEEN HOME CARE
Other - Org Name:LOVED ONES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENDAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SKEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-610-1581
Mailing Address - Street 1:PO BOX 8520
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25303-0520
Mailing Address - Country:US
Mailing Address - Phone:304-744-8125
Mailing Address - Fax:304-744-8606
Practice Address - Street 1:11111 RICHMOND AVE STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6710
Practice Address - Country:US
Practice Address - Phone:281-815-2477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care