Provider Demographics
NPI:1700295185
Name:SUMAD LLC
Entity Type:Organization
Organization Name:SUMAD LLC
Other - Org Name:DBA BRIGHTSTAR CARE OF ENCINITAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAHIRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-777-9525
Mailing Address - Street 1:593 VIA DEL CABALLO
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078
Mailing Address - Country:US
Mailing Address - Phone:760-672-0757
Mailing Address - Fax:
Practice Address - Street 1:9606 TIERRA GRANDE STR.
Practice Address - Street 2:201
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-6501
Practice Address - Country:US
Practice Address - Phone:760-672-0757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health