Provider Demographics
NPI:1972092468
Name:SKYLAR HOME HEALTH, INC.
Entity type:Organization
Organization Name:SKYLAR HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-574-5950
Mailing Address - Street 1:10523 BURBANK BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2235
Mailing Address - Country:US
Mailing Address - Phone:818-574-5950
Mailing Address - Fax:818-574-5882
Practice Address - Street 1:10523 BURBANK BLVD STE 105
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2235
Practice Address - Country:US
Practice Address - Phone:818-574-5950
Practice Address - Fax:818-574-5882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health