Organization Active NPI

Skye Home Health, Inc.

  • Home Health Agency
  • Duarte, CA
National Provider Identifier
1295352474
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 14, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HealthCCN 753197 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 27, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2306704Vital Health Inc1217 Buena Vista St Ste 103 B, Duarte, CA 91010Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Specialty Home Health, Inc. Organization, Duarte, CA Corporation 5% Or Greater Direct Ownership Interest Jan 22, 2020 100%
Narine Gabuchian Individual 5% Or Greater Indirect Ownership Interest Jan 22, 2020 100%
Corporate OfficerCfo, Secretary Jan 22, 2020 100%
Amelita H Cutler Individual Corporate OfficerPresident May 1, 2023 100%
W-2 Managing EmployeeAdministrator May 1, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.