Provider Demographics
NPI:1336560549
Name:SUMMY HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:SUMMY HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMY
Authorized Official - Suffix:
Authorized Official - Credentials:MED BCBA
Authorized Official - Phone:817-925-2979
Mailing Address - Street 1:594 GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-3500
Mailing Address - Country:US
Mailing Address - Phone:817-925-2979
Mailing Address - Fax:866-300-8627
Practice Address - Street 1:2050 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-8360
Practice Address - Country:US
Practice Address - Phone:817-925-2979
Practice Address - Fax:866-300-8627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health