Provider Demographics
NPI:1093721342
Name:SUMMIT HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:SUMMIT HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:STOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-224-2224
Mailing Address - Street 1:PO BOX 870
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29622-0870
Mailing Address - Country:US
Mailing Address - Phone:864-224-2224
Mailing Address - Fax:864-224-1089
Practice Address - Street 1:3322 HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29626-5339
Practice Address - Country:US
Practice Address - Phone:864-224-2224
Practice Address - Fax:864-224-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC004210268332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000515314AMedicaid
SCDME229Medicaid
SC0159350001Medicare NSC