=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811875008
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SKYNET HOME CARE AGENCY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2025
-----------------------------------------------------
Last Update Date | 08/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6838 EVERHART RD APT 45
-----------------------------------------------------
City | CORPUS CHRISTI
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78413-2460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-788-2533
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6838 EVERHART RD APT 45
-----------------------------------------------------
City | CORPUS CHRISTI
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78413-2460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-788-2533
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JANET Y KONLAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-788-2533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------