Provider Demographics
NPI:1174503775
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:MR
Authorized Official - First Name:CHUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:STOWE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT/RCP
Authorized Official - Phone:864-224-2224
Mailing Address - Street 1:299 E GREENVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5500
Mailing Address - Country:US
Mailing Address - Phone:864-224-2224
Mailing Address - Fax:864-224-1089
Practice Address - Street 1:299 E GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5500
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:2006-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC005332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDME229Medicaid
SC0153950001Medicare ID - Type Unspecified