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NPI 1295352474

NPI 1295352474 : SKYE HOME HEALTH, INC. : DUARTE, CA

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General NPI Number Information
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    NPI Number           |    1295352474
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    Entity Type          |    Organization 
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    Legal Business Name  |    SKYE HOME HEALTH, INC. 
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Dates
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    Enumeration Date     |    07/03/2020
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    Last Update Date     |    02/14/2025
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Provider Practice Location Address
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    Address Line         |    1217 BUENA VISTA STREET SUITE 103-B
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    City                 |    DUARTE
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    State                |    CA
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    Zip                  |    91010-2411
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    Country              |    US
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    Telephone            |    626-850-5060
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    Fax                  |    626-850-5064
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Provider Business Mailing Address
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    Address Line         |    1217 BUENA VISTA STREET SUITE 103-B
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    City                 |    DUARTE
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    State                |    CA
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    Zip                  |    91010-2411
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    Country              |    US
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    Telephone            |    626-850-5060
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    Fax                  |    626-850-5064
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Authorized Official
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    Title or Position    |    SECRETARY
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    Name                 |     MARDI  ROSS 
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    Credential           |    
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    Telephone            |    626-850-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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