Healthcare Provider Details

I. General information

NPI: 1346641446
Provider Name (Legal Business Name): SYKES HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2014
Last Update Date: 09/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16508 E LOST ARROW DR
FOUNTAIN HILLS AZ
85268-4419
US

IV. Provider business mailing address

16508 E LOST ARROW DR
FOUNTAIN HILLS AZ
85268-4419
US

V. Phone/Fax

Practice location:
  • Phone: 941-724-0404
  • Fax:
Mailing address:
  • Phone: 941-724-0404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BOB SYKES
Title or Position: PRESIDENT
Credential:
Phone: 941-724-0404