Provider Demographics
NPI:1922678846
Name:CLEAR SKY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:CLEAR SKY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-538-7418
Mailing Address - Street 1:1915 W GLENOAKS BLVD STE 201A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1541
Mailing Address - Country:US
Mailing Address - Phone:818-538-7418
Mailing Address - Fax:818-538-7419
Practice Address - Street 1:1915 W GLENOAKS BLVD STE 201A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1541
Practice Address - Country:US
Practice Address - Phone:818-538-7418
Practice Address - Fax:818-538-7419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health