Provider Demographics
NPI:1952119885
Name:SUMMIT IN-HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:SUMMIT IN-HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YANKUBA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIDYKHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-500-8061
Mailing Address - Street 1:1242 STATE AVE STE I
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-3672
Mailing Address - Country:US
Mailing Address - Phone:425-500-8061
Mailing Address - Fax:
Practice Address - Street 1:1420 143RD PL SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-6059
Practice Address - Country:US
Practice Address - Phone:206-430-4580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty