Provider Demographics
NPI:1205872553
Name:SKYWAY HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:SKYWAY HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDY
Authorized Official - Middle Name:IKECHUKWU
Authorized Official - Last Name:UMERAH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:972-273-3807
Mailing Address - Street 1:1104 SHADYWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2981
Mailing Address - Country:US
Mailing Address - Phone:972-293-3807
Mailing Address - Fax:972-293-3807
Practice Address - Street 1:1104 SHADYWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2981
Practice Address - Country:US
Practice Address - Phone:972-293-3807
Practice Address - Fax:972-293-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health