Provider Demographics
NPI:1679701221
Name:SKYLINE HOME HEALTH CORP
Entity type:Organization
Organization Name:SKYLINE HOME HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-225-7101
Mailing Address - Street 1:14850 SW 26TH ST
Mailing Address - Street 2:STE.111
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5927
Mailing Address - Country:US
Mailing Address - Phone:305-225-7101
Mailing Address - Fax:305-225-7102
Practice Address - Street 1:14850 SW 26TH ST
Practice Address - Street 2:STE.111
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5927
Practice Address - Country:US
Practice Address - Phone:305-225-7101
Practice Address - Fax:305-225-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health