Provider Demographics
NPI:1154805588
Name:SKY HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:SKY HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:346-412-8418
Mailing Address - Street 1:19622 ATHERTON BEND LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6153
Mailing Address - Country:US
Mailing Address - Phone:346-412-8418
Mailing Address - Fax:
Practice Address - Street 1:19622 ATHERTON BEND LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6153
Practice Address - Country:US
Practice Address - Phone:346-412-8418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care