Provider Demographics
NPI:1255891826
Name:SKYLINE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:SKYLINE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARANET
Authorized Official - Middle Name:
Authorized Official - Last Name:SMBATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-247-2540
Mailing Address - Street 1:14540 VICTORY BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-4159
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14540 VICTORY BLVD STE 208
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-4159
Practice Address - Country:US
Practice Address - Phone:747-247-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health