Provider Demographics
NPI:1578736245
Name:SUMMA NURSING SOLUTIONS LLC
Entity Type:Organization
Organization Name:SUMMA NURSING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:SMOOT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-422-0966
Mailing Address - Street 1:5330 E MAIN ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2571
Mailing Address - Country:US
Mailing Address - Phone:614-322-0966
Mailing Address - Fax:
Practice Address - Street 1:5330 E MAIN ST
Practice Address - Street 2:SUITE 108
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2571
Practice Address - Country:US
Practice Address - Phone:614-322-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2699021Medicaid