Provider Demographics
NPI:1689239873
Name:SUMMIT ST GEORGE, LLC
Entity Type:Organization
Organization Name:SUMMIT ST GEORGE, LLC
Other - Org Name:SUMMIT HOME HEALTH ST. GEORGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:801-556-4180
Mailing Address - Street 1:2463 W SILVERPOINT WAY
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-3030
Mailing Address - Country:US
Mailing Address - Phone:801-556-4180
Mailing Address - Fax:
Practice Address - Street 1:1675 W RED CLOUD DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-7378
Practice Address - Country:US
Practice Address - Phone:801-556-4180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based