Provider Demographics
NPI:1245409226
Name:SUMMIT HOMECARE SERVICES, L L C
Entity type:Organization
Organization Name:SUMMIT HOMECARE SERVICES, L L C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ESCALERA
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-818-9102
Mailing Address - Street 1:100 NE LOOP 410 STE 1500A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4700
Mailing Address - Country:US
Mailing Address - Phone:210-615-3877
Mailing Address - Fax:210-615-3876
Practice Address - Street 1:100 NE LOOP 410 STE 1500A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4700
Practice Address - Country:US
Practice Address - Phone:210-615-3877
Practice Address - Fax:210-615-3876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177225301Medicaid