Provider Demographics
NPI:1851818454
Name:SKM HOMECARE INC.
Entity Type:Organization
Organization Name:SKM HOMECARE INC.
Other - Org Name:TLC SENIOR HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SANFORD
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:MOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-789-7410
Mailing Address - Street 1:1000 WEST MCNAB RD
Mailing Address - Street 2:SUITE 329
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069
Mailing Address - Country:US
Mailing Address - Phone:561-789-7410
Mailing Address - Fax:
Practice Address - Street 1:1000 W MCNAB RD STE 329
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4719
Practice Address - Country:US
Practice Address - Phone:561-789-7410
Practice Address - Fax:754-307-2592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994656251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health