Provider Demographics
NPI:1972114817
Name:SKYE HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:SKYE HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARDI MAE
Authorized Official - Middle Name:JOAQUIN
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:JD/MBA
Authorized Official - Phone:626-522-8488
Mailing Address - Street 1:3360 FLAIR DR STE 210D
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2811
Mailing Address - Country:US
Mailing Address - Phone:626-522-8488
Mailing Address - Fax:626-522-8498
Practice Address - Street 1:3360 FLAIR DR STE 210D
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2811
Practice Address - Country:US
Practice Address - Phone:626-522-8488
Practice Address - Fax:626-522-8498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based