Provider Demographics
NPI:1811714199
Name:SKYLINE HEALTH SERVICES LLC
Entity type:Organization
Organization Name:SKYLINE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VAIBHAV
Authorized Official - Middle Name:PARSHOTAM
Authorized Official - Last Name:RUPAPARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-203-5820
Mailing Address - Street 1:1515 HANCOCK ST STE 203
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5230
Mailing Address - Country:US
Mailing Address - Phone:754-203-5820
Mailing Address - Fax:
Practice Address - Street 1:1515 HANCOCK ST STE 203
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5230
Practice Address - Country:US
Practice Address - Phone:754-203-5820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies