Provider Demographics
NPI:1790078103
Name:SUMMIT ONE BUSINESS GROUP L.L.C
Entity Type:Organization
Organization Name:SUMMIT ONE BUSINESS GROUP L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:STRIGGLES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:678-624-1795
Mailing Address - Street 1:13085 MORRIS RD
Mailing Address - Street 2:#11101
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4155
Mailing Address - Country:US
Mailing Address - Phone:678-624-1795
Mailing Address - Fax:
Practice Address - Street 1:13085 MORRIS RD
Practice Address - Street 2:#11101
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-4155
Practice Address - Country:US
Practice Address - Phone:678-624-1795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker