Provider Demographics
NPI:1649982018
Name:SKYLITE HOME CARE
Entity type:Organization
Organization Name:SKYLITE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-360-6945
Mailing Address - Street 1:13106 BENTCREST CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5614
Mailing Address - Country:US
Mailing Address - Phone:714-360-6945
Mailing Address - Fax:
Practice Address - Street 1:13106 BENTCREST CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5614
Practice Address - Country:US
Practice Address - Phone:714-360-6945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care