Organization Active NPI

Skyline Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1255891826
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 2, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 559573 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Sep 24, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Karanet Smbatyan Individual 5% Or Greater Direct Ownership Interest Feb 20, 2019 100%
Corporate OfficerCeo Feb 20, 2019
Corporate DirectorBoard Member Feb 20, 2019
W-2 Managing EmployeeAdministrator 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

Sources for this page

Verify at the official NPI Registry.