Active NPI
Skye Home Health, Inc.
- Home Health Agency
- Duarte, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SKYE HOME HEALTH, INC.
- Doing business as
- Skye Home Health
- Practice address
- 1217 Buena Vista Street
Suite 103-B
Duarte, CA 91010-2411 - Phone
- (626) 850-5060
- Fax
- (626) 850-5064
- NPI assigned
- Jul 3, 2020
- 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
- Mardi Ross
- Title
- Secretary
- Phone
- (626) 850-5060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1217 Buena Vista Street
Suite 103-B
Duarte, CA 91010-2411
Mailing address
1217 Buena Vista Street
Suite 103-B
Duarte, CA 91010-2411
Phone (626) 850-5060
Other names 1
- Skye Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201116000379 | CA | Part A Provider - Home Health Agency | 5496166886 | Practice locations: Duarte, CA |
Home health agency certification: CCN 753197
- Legal name
- VITAL HEALTH, INC.
- Doing business as
- SKYE HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 27, 2021
- Last certification
- Oct 27, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 22, 2020 in CA
- Enrollment address
- 1217 Buena Vista St
# 103B
Duarte, CA 91010-2411
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Skye Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 27, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2306704 | Vital Health Inc | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
1217 Buena Vista St
#103B
Duarte, CA 91010
Phone (626) 850-5060
1217 Buena Vista St
Ste 103B
Duarte, CA 91010
Phone (626) 531-7101
6623 San Fernando Rd
Ste E
Glendale, CA 91201
Phone (818) 352-1916
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Specialty Home Health, Inc. | 5% Or Greater Direct Ownership Interest | Jan 22, 2020 | 100% |
| Narine Gabuchian | 5% Or Greater Indirect Ownership Interest | Jan 22, 2020 | 100% |
| Corporate Officer | Jan 22, 2020 | 100% | |
| Amelita H Cutler | Corporate Officer | May 1, 2023 | 100% |
| W-2 Managing Employee | May 1, 2023 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1497802094
Home health agency
-
- Physical Medicine & Rehabilitation Physician
- West Covina, CA
- NPI 1174681050
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1295352474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 BUENA VISTA STREET",
"address_2": "SUITE 103-B",
"city": "DUARTE",
"state": "CA",
"postal_code": "910102411",
"telephone_number": "626-850-5060",
"fax_number": "626-850-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 BUENA VISTA STREET",
"address_2": "SUITE 103-B",
"city": "DUARTE",
"state": "CA",
"postal_code": "910102411",
"telephone_number": "626-850-5060",
"fax_number": "626-850-5064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYE HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-03",
"last_updated": "2025-02-14",
"certification_date": "2023-05-20",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "MARDI",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "626-850-5060"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Skye Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.