Provider Demographics
NPI:1942064399
Name:SUMMIT SOLUTIONS LLC-FORT MYERS
Entity Type:Organization
Organization Name:SUMMIT SOLUTIONS LLC-FORT MYERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:AMADOR
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:239-343-8220
Mailing Address - Street 1:1933 NE 15TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1668
Mailing Address - Country:US
Mailing Address - Phone:239-296-8334
Mailing Address - Fax:
Practice Address - Street 1:1933 NE 15TH ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-1668
Practice Address - Country:US
Practice Address - Phone:239-296-8334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONCIERGE HEALTHCARE OF SWFL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty