Healthcare Provider Details
I. General information
NPI: 1053122937
Provider Name (Legal Business Name): SUMIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/18/2025
Last Update Date: 01/18/2025
Certification Date: 01/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3645 RIO POCO RD
RENO NV
89502-5349
US
IV. Provider business mailing address
4036 WEEPING WILLOW CT
RENO NV
89502-7912
US
V. Phone/Fax
- Phone: 775-525-0483
- Fax:
- Phone: 775-247-4000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUMIT
SETHI
Title or Position: ADMIN
Credential:
Phone: 775-247-4000