Healthcare Provider Details

I. General information

NPI: 1588274518
Provider Name (Legal Business Name): SKYLAR HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15450 VENTURA BLVD STE 104
SHERMAN OAKS CA
91403-3062
US

IV. Provider business mailing address

15450 VENTURA BLVD STE 104
SHERMAN OAKS CA
91403-3062
US

V. Phone/Fax

Practice location:
  • Phone: 818-452-5655
  • Fax: 818-452-4497
Mailing address:
  • Phone: 818-452-5655
  • Fax: 818-452-4497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARINE KARAGULYAN
Title or Position: CEO
Credential:
Phone: 818-452-5655