1497140669 NPI number — SUMMERWOOD HOME HEALTH SERVICES OF DISTRICT 6, LLC

Table of content: (NPI 1497140669)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497140669 NPI number — SUMMERWOOD HOME HEALTH SERVICES OF DISTRICT 6, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUMMERWOOD HOME HEALTH SERVICES OF DISTRICT 6, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497140669
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2033 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
SARASOTA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34237-6056
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-952-9411
Provider Business Mailing Address Fax Number:
941-952-9331

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1120 CYPRESS GARDENS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINTER HAVEN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33884-1919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-683-5010
Provider Business Practice Location Address Fax Number:
863-683-5020
Provider Enumeration Date:
04/03/2015

Additional Information

Authorized Official

Authorized Official Last Name:
PARKER
Authorized Official First Name:
TONY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
941-296-7278

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  299991837 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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