Skyline Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HP0136600 Issued in NJ

Legal business name

SKYLINE CARE, LLC

Doing business as

Skyline Home Care

Practice address

120 Park End PL
East Orange, NJ 07018-1116

Phone

(973) 965-0366

Fax

(973) 965-0367

NPI assigned

Oct 14, 2010

Last updated

Oct 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Harry L. Wruble

Title

Chief Operating Officer

Phone

(201) 809-2903

Specialties & licenses 1

Addresses

Other names 1

• Skyline Home Care Doing business as

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1124338967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MARLBORO RD STE 5",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751235",
            "telephone_number": "201-635-1195",
            "fax_number": "201-635-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK END PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181116",
            "telephone_number": "973-965-0366",
            "fax_number": "973-965-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "WRUBLE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "201-809-2903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "HP0136600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in East Orange, NJ
• Providers in East Orange, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.