Active NPI
Skyline Home Health Care, Inc.
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1255891826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SKYLINE HOME HEALTH CARE, INC.
- Practice address
- 14540 Victory Blvd Ste 208
Van Nuys, CA 91411-4159 - Phone
- (747) 247-2540
- NPI assigned
- Mar 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karanet Smbatyan
- Title
- Ceo
- Phone
- (747) 247-2540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
14540 Victory Blvd Ste 208
Van Nuys, CA 91411-4159
Mailing address
14540 Victory Blvd Ste 208
Van Nuys, CA 91411-4159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210628000014 | CA | Part A Provider - Home Health Agency | 9537560610 | Practice locations: Van Nuys, CA |
Home health agency certification: CCN 559573
- Legal name
- SKYLINE HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 24, 2021
- Last certification
- Sep 16, 2021
- Organization structure
- Corporation
- Incorporated
- Feb 20, 2019 in CA
- Enrollment address
- 14540 Victory Blvd
Ste 208
Van Nuys, CA 91411-4159
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Skyline Home Health Care, Inc
- Overall star rating
- Ownership
- -
- Certified
- Sep 24, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Karanet Smbatyan | 5% Or Greater Direct Ownership Interest | Feb 20, 2019 | 100% |
| Corporate Officer | Feb 20, 2019 | ||
| Corporate Director | Feb 20, 2019 | ||
| W-2 Managing Employee | Feb 20, 2019 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554163200000",
"number": "1255891826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14540 VICTORY BLVD STE 208",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914114159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14540 VICTORY BLVD STE 208",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914114159",
"telephone_number": "747-247-2540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLINE HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-20",
"last_updated": "2019-04-02",
"status": "A",
"authorized_official_last_name": "SMBATYAN",
"authorized_official_first_name": "KARANET",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-247-2540"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
- Six Harmony Home Health Care Inc
- Six Harmony Hospice Care, Inc.
- SK Friendly Home Care Inc
- Skilled A1 Home Health Inc.
- SKK Heritage, Inc. (Your Day Adult Day Health Care Center)
- Skyline Hospice Care, Inc
- SL Rouff MD AMC & SS Silberstein MD AMC (Vanowen Medical Associates)
- Robert Slatkin
- SLL Home Health Care, Inc.
- Francine S Sloane, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.