Provider Demographics
NPI:1154138949
Name:SKYLIGHT HOME CARE LLC
Entity type:Organization
Organization Name:SKYLIGHT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DORIANA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:DENIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-502-6862
Mailing Address - Street 1:1418 FAIRWAY CIR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3329
Mailing Address - Country:US
Mailing Address - Phone:561-502-6862
Mailing Address - Fax:833-415-1199
Practice Address - Street 1:1418 FAIRWAY CIR
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-3329
Practice Address - Country:US
Practice Address - Phone:561-502-6862
Practice Address - Fax:833-415-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home