SK Marathon Home Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197609055 Issued in CA

Legal business name

SK MARATHON HOME CARE

Practice address

7246 Fallbrook Ave
West Hills, CA 91307

Phone

(818) 912-6757

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Sun Il Kim

Title

President

Phone

(805) 200-8100

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1548778152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 FALLBROOK AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-912-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7246 FALLBROOK AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-912-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK MARATHON HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "IL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-200-8100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197609055",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Simon, PHARMD
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• Belinda Simonian, DDS
• Jessica E. Sims, M.D.
• Gary Sindell, M.D.
• Skilltech DX Inc
• Skin Cancer&Reconstructive Surgery Specialists of West Hills
• Norma Skinner, A.T.,C
• Skyline RX Inc
• Snasim Inc

• Assisted Living Facility in West Hills, CA
• Providers in West Hills, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.