Provider Demographics
NPI:1659830222
Name:SUMMIT HOME CARE INC
Entity Type:Organization
Organization Name:SUMMIT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHINEDU
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:UKWUIJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-349-5663
Mailing Address - Street 1:2815 CORBETT GROVE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-5594
Mailing Address - Country:US
Mailing Address - Phone:919-349-5663
Mailing Address - Fax:
Practice Address - Street 1:2815 CORBETT GROVE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-5594
Practice Address - Country:US
Practice Address - Phone:919-349-5663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC5025OtherNORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES