Provider Demographics
NPI:1811875008
Name:SKYNET HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:SKYNET HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:Y
Authorized Official - Last Name:KONLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-788-2533
Mailing Address - Street 1:6838 EVERHART RD APT 45
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-2460
Mailing Address - Country:US
Mailing Address - Phone:347-788-2533
Mailing Address - Fax:
Practice Address - Street 1:6838 EVERHART RD APT 45
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2460
Practice Address - Country:US
Practice Address - Phone:347-788-2533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health