Provider Demographics
NPI:1306216106
Name:SUMMIT HEALTH CARE LLC
Entity Type:Organization
Organization Name:SUMMIT HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:OFODU
Authorized Official - Suffix:
Authorized Official - Credentials:RN/MSN/MBA
Authorized Official - Phone:816-506-4417
Mailing Address - Street 1:6033 RAYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-3909
Mailing Address - Country:US
Mailing Address - Phone:816-737-3113
Mailing Address - Fax:816-737-3090
Practice Address - Street 1:6033 RAYTOWN RD
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-3909
Practice Address - Country:US
Practice Address - Phone:816-737-3113
Practice Address - Fax:816-737-3090
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMIT HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care