Provider Demographics
NPI:1811195928
Name:SKYLIGHT HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:SKYLIGHT HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-892-5025
Mailing Address - Street 1:2012 SILVERWAY LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4500
Mailing Address - Country:US
Mailing Address - Phone:469-892-5025
Mailing Address - Fax:469-892-6113
Practice Address - Street 1:2012 SILVERWAY LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4500
Practice Address - Country:US
Practice Address - Phone:469-892-5025
Practice Address - Fax:469-892-6113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health