Organization Active NPI

Sky Home Health Inc.

  • Home Health Agency
  • Citrus Heights, CA
National Provider Identifier
1982282539
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SKY HOME HEALTH INC.
Practice address
7610 Auburn Blvd Ste 5
Citrus Heights, CA 95610-2200
Phone
(916) 530-2112
Fax
(916) 530-2113
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Mrs. Perchui Annie Demirchyan
Title
President
Phone
(916) 530-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7610 Auburn Blvd Ste 5
Citrus Heights, CA 95610-2200

Mailing address

7610 Auburn Blvd Ste 5
Citrus Heights, CA 95610-2200
Phone (916) 530-2112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422000779 CA Part A Provider - Home Health Agency 5496163990 Practice locations: Citrus Heights, CA

Home health agency certification: CCN 757173

Legal name
SKY HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 9, 2023
Last certification
Feb 16, 2023
Organization structure
CorporationProprietary
Incorporated
Nov 24, 2020 in CA
Enrollment address
7610 Auburn Blvd
Ste 5
Citrus Heights, CA 95610-2200

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sky Home Health, Inc.CCN 757173
Overall star rating
2.5 of 5
Ownership
-
Certified
Mar 9, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7610 Auburn Blvd
Ste 5
Citrus Heights, CA 95610
Phone (916) 530-2112

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
Maximio Narvaez Individual 5% Or Greater Direct Ownership InterestSecretary Sep 12, 2023 5%
Corporate OfficerSecretary Sep 12, 2023 5%
Corporate DirectorSecretary Sep 12, 2023 5%
W-2 Managing EmployeeSecretary Sep 12, 2023 5%
Gohar Kirakosyan Individual 5% Or Greater Direct Ownership InterestCfo Sep 12, 2023 45%
Corporate OfficerCfo Sep 12, 2023 45%
Corporate DirectorCfo Sep 12, 2023 45%
W-2 Managing EmployeeCfo Sep 12, 2023 45%
Perchui Annie Demirchyan Individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 50%
Corporate OfficerCeo/President Mar 1, 2021 50%
Corporate DirectorCeo Mar 1, 2021 50%
W-2 Managing EmployeeCeo Mar 1, 2021 50%

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1982282539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 AUBURN BLVD STE 5",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102200",
            "telephone_number": "916-530-2112",
            "fax_number": "916-530-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 AUBURN BLVD STE 5",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102200",
            "telephone_number": "916-530-2112",
            "fax_number": "916-530-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "DEMIRCHYAN",
        "authorized_official_first_name": "PERCHUI",
        "authorized_official_middle_name": "ANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-530-2112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.