Skylark Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

058-R-0659 Issued in GA

Legal business name

SKYLARK HOME CARE, LLC

Practice address

4265 Johns Creek Pkwy Ste B
Suwanee, GA 30024-6038

Phone

(678) 646-0600

Fax

(678) 646-0602

NPI assigned

Mar 24, 2016

Organization subpart

Yes

Parent organization

SKYLARK SENIOR CARE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Edwin Howard Morgens

Title

Ceo

Phone

(404) 550-7087

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1376905778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 JOHNS CREEK PKWY STE B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246038",
            "telephone_number": "678-646-0600",
            "fax_number": "678-646-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 JOHNS CREEK PKWY STE B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246038",
            "telephone_number": "678-646-0600",
            "fax_number": "678-646-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLARK HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKYLARK SENIOR CARE, LLC",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "MORGENS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-550-7087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "058-R-0659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151574A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130859A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130859B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea D Sims, M.ED., L.P.C.
• Ravi Kumar R Singareddy, MD
• Akriti Singh
• Skinnylabb LLC
• Skylark Adh-Johns Creek, LLC
• Skyn Clinic & Apothecary
• Sleep Disorder Center @ Gwinnett Clinic
• Shino Sleeper
• Small Interventions Healthcare
• Tiffany Regina Smart, DC

• In Home Supportive Care Agency in Suwanee, GA
• Providers in Suwanee, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.