Provider Demographics
NPI:1346390853
Name:SUMMIT HOME HEALTH SYSTEMS
Entity Type:Organization
Organization Name:SUMMIT HOME HEALTH SYSTEMS
Other - Org Name:ARDENT PARTNERS MANAGEMENT CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PATIENT CARE SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEILANI
Authorized Official - Middle Name:TEVES
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN,COS-C,HCS-D
Authorized Official - Phone:951-206-6914
Mailing Address - Street 1:27393 YNEZ RD
Mailing Address - Street 2:SUITE 261
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-5604
Mailing Address - Country:US
Mailing Address - Phone:951-206-6914
Mailing Address - Fax:951-302-1645
Practice Address - Street 1:27393 YNEZ RD
Practice Address - Street 2:SUITE 261
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5604
Practice Address - Country:US
Practice Address - Phone:951-206-6914
Practice Address - Fax:951-302-1645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health