Healthcare Provider Details

I. General information

NPI: 1386507473
Provider Name (Legal Business Name): COURTNEY PAIGE SUMMERHILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 BOLL WEEVIL CIR STE D
ENTERPRISE AL
36330-1390
US

IV. Provider business mailing address

1110 BOLL WEEVIL CIR STE D
ENTERPRISE AL
36330-1390
US

V. Phone/Fax

Practice location:
  • Phone: 205-440-2159
  • Fax:
Mailing address:
  • Phone: 205-440-2159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: