Healthcare Provider Details

I. General information

NPI: 1982544904
Provider Name (Legal Business Name): SUMMIT SERVICE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15322 GALAXIE AVE STE 203C
APPLE VALLEY MN
55124-3152
US

IV. Provider business mailing address

15322 GALAXIE AVE STE 203C
APPLE VALLEY MN
55124-3152
US

V. Phone/Fax

Practice location:
  • Phone: 612-735-1031
  • Fax:
Mailing address:
  • Phone: 612-735-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZACHARY STENSLAND
Title or Position: OWNER
Credential:
Phone: 612-735-1031