Healthcare Provider Details

I. General information

NPI: 1992733695
Provider Name (Legal Business Name): SUMMIT ACRES HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 SUMMIT CT
CALDWELL OH
43724-9033
US

IV. Provider business mailing address

PO BOX 519
GREEN OH
44232-0519
US

V. Phone/Fax

Practice location:
  • Phone: 740-732-5712
  • Fax: 740-732-7350
Mailing address:
  • Phone: 330-498-8047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: JODI L HULL
Title or Position: VP BILLING
Credential:
Phone: 330-498-8047