Skye Healthcare Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SKYE HEALTHCARE SERVICES, INC.

Practice address

3360 Flair Dr Ste 210D
El Monte, CA 91731-2811

Phone

(626) 522-8488

Fax

(626) 522-8498

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Mardi Mae Joaquin Ross, JD/MBA

Title

President

Phone

(626) 522-8488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31504

Legal name

SKYE HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 11, 2019

Last certification

Dec 6, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 24, 2020 in CA

Enrollment address

1217 Buena Vista St
Ste 103C
Duarte, CA 91010-2409

Listed as

Skye Healthcare Services, IncCCN B31504

Certified

Jan 11, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1972114817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 FLAIR DR STE 210D",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312811",
            "telephone_number": "626-522-8488",
            "fax_number": "626-522-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 FLAIR DR STE 210D",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312811",
            "telephone_number": "626-522-8488",
            "fax_number": "626-522-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYE HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MARDI MAE",
        "authorized_official_middle_name": "JOAQUIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-522-8488",
        "authorized_official_credential": "JD/MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Virginia Garcia Sioson-Ayala, MD
• Orawan Sitburana, M.D.
• Hui Sito
• Emmanuelle Sivilay
• Skiinn Aesthetics
• Rickelle Smart
• Andreas Smeritschnig, PPS, CWA
• Alexis Nicole Smith, M.D.
• Brian Joseph Smith Jr., ATC
• Laura Marie Smith, FAMILY NP

• Community Based Hospice Care Agency in El Monte, CA
• Providers in El Monte, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.

Verify at the official NPI Registry.