Provider Demographics
NPI:1144363672
Name:SKYLINE MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:SKYLINE MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMIN/CFO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:EMEKA
Authorized Official - Last Name:NNABUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-630-2265
Mailing Address - Street 1:514 SUMMER OAKS CT
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-1841
Mailing Address - Country:US
Mailing Address - Phone:832-630-2265
Mailing Address - Fax:866-925-6638
Practice Address - Street 1:514 SUMMER OAKS CT
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469-1841
Practice Address - Country:US
Practice Address - Phone:832-630-2265
Practice Address - Fax:866-925-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011658251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747187Medicare Oscar/Certification