Provider Demographics
NPI:1134487697
Name:SUMILANG HEALTH CARE LLC
Entity Type:Organization
Organization Name:SUMILANG HEALTH CARE LLC
Other - Org Name:PRIMECARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-641-1116
Mailing Address - Street 1:2040 NE COACHMAN RD STE B
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2610
Mailing Address - Country:US
Mailing Address - Phone:727-345-3600
Mailing Address - Fax:727-245-8567
Practice Address - Street 1:2040 NE COACHMAN RD STE B
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2610
Practice Address - Country:US
Practice Address - Phone:727-345-3600
Practice Address - Fax:727-245-8567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health