Organization Active NPI

Sky Home Health Care LLC

  • Home Health Agency
  • Fairfax, VA
National Provider Identifier
1013744960
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKY HOME HEALTH CARE LLC
Practice address
9990 Fairfax Blvd Ste 560
Fairfax, VA 22030-1743
Phone
(571) 833-8342
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Abdullah A Omar
Title
Owner/Admin
Phone
(571) 833-8342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9990 Fairfax Blvd Ste 560
Fairfax, VA 22030-1743

Mailing address

9990 Fairfax Blvd Ste 560
Fairfax, VA 22030-1743
Phone (571) 833-8342

National Provider Directory

National Provider Directory

Locations

9990 Fairfax Blvd
Ste 560
Fairfax, VA 22030
Phone (202) 615-9119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1013744960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 FAIRFAX BLVD STE 560",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301743",
            "telephone_number": "571-833-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 FAIRFAX BLVD STE 560",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301743",
            "telephone_number": "571-833-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "571-833-8342",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.