Organization Active NPI

Sky Home Healthcare, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1508376443
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKY HOME HEALTHCARE, INC.
Practice address
459 W Broadway Ste 8
Glendale, CA 91204-1228
Phone
(818) 206-4250
Fax
(818) 857-5414
NPI assigned
Oct 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Mr. Vartan Sarkisian
Title
President/Ceo
Phone
(818) 206-4250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

459 W Broadway Ste 8
Glendale, CA 91204-1228

Mailing address

459 W Broadway Ste 8
Glendale, CA 91204-1228
Phone (818) 206-4250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171011000883 CA Part A Provider - Home Health Agency 4880969245 Practice locations: North Hollywood, CA

Home health agency certification: CCN 553100

Legal name
SKY HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 2018
Last certification
Jul 20, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 14, 2015 in CA
Enrollment address
11755 Victory Blvd
Ste 270
North Hollywood, CA 91606
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sky Home Healthcare, IncCCN 553100
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jul 20, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Response Home Care, IncCCN 059429
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jun 4, 2012
Medicare certification status
Terminated Voluntary: merger or closure, Mar 19, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

459 W Broadway
Ste 8
Glendale, CA 91204
Phone (818) 206-4250

11755 Victory Blvd
Ste 270
North Hollywood, CA 91606
Phone (818) 206-4250

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
Vartan Sarkisian Individual 5% Or Greater Direct Ownership InterestCeo Jul 15, 2020 100%
Corporate OfficerCeo Jul 15, 2020 100%
Corporate DirectorCeo Jul 15, 2020 100%
W-2 Managing EmployeeCeo Jul 15, 2020 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1508376443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 W BROADWAY STE 8",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041228",
            "telephone_number": "818-206-4250",
            "fax_number": "818-857-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 W BROADWAY STE 8",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041228",
            "telephone_number": "818-206-4250",
            "fax_number": "818-857-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "SARKISIAN",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-206-4250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.