MEDICARE: SUMMIT HOMECARE SERVICES, L L C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245409226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT HOMECARE SERVICES, L L C

Provider Business Mailing Address
First Line	:	100 NE LOOP 410 STE 1500A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4700
Country	:	US
Telephone Number	:	210-615-3877
Fax Number	:	210-615-3876

Provider Business Practice Location Address
First Line	:	100 NE LOOP 410 STE 1500A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4700
Country	:	US
Telephone Number	:	210-615-3877
Fax Number	:	210-615-3876

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ELIZABETH ESCALERA MURPHY
Credential	:	RN
Telephone Number	:	210-818-9102

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	03/02/2020

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