Healthcare Provider Details

I. General information

NPI: 1578026134
Provider Name (Legal Business Name): SUMIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 04/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 BYRD DR
SPARKS NV
89431-1964
US

IV. Provider business mailing address

4036 WEEPING WILLOW CT
RENO NV
89502-7912
US

V. Phone/Fax

Practice location:
  • Phone: 775-525-0483
  • Fax:
Mailing address:
  • Phone: 775-247-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: SUMIT SETHI
Title or Position: OWNER
Credential:
Phone: 775-247-4000