Healthcare Provider Details

I. General information

NPI: 1275243560
Provider Name (Legal Business Name): SKY HEALTH CARE MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20832 ROSCOE BLVD STE 211
WINNETKA CA
91306-2093
US

IV. Provider business mailing address

20832 ROSCOE BLVD STE 211
WINNETKA CA
91306-2093
US

V. Phone/Fax

Practice location:
  • Phone: 818-451-5630
  • Fax: 818-403-5740
Mailing address:
  • Phone: 818-451-5630
  • Fax: 818-403-5740

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: MR. JIMMY SOLANKY
Title or Position: PRESIDENT/CEO
Credential:
Phone: 818-451-5630