Provider Demographics
NPI:1073713244
Name:SUMMY HEALTHLINK CORPORATION
Entity Type:Organization
Organization Name:SUMMY HEALTHLINK CORPORATION
Other - Org Name:ACCESS HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABBEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUNMONU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-230-3847
Mailing Address - Street 1:5700 LENORE ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76134-1216
Mailing Address - Country:US
Mailing Address - Phone:817-230-3847
Mailing Address - Fax:817-294-0338
Practice Address - Street 1:5700 LENORE ST UNIT A
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76134-1216
Practice Address - Country:US
Practice Address - Phone:817-230-3847
Practice Address - Fax:817-294-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011459251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747094Medicare Oscar/Certification