MEDICARE: THE SUMMERHOUSE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251V00000X	Voluntary or Charitable Agency
2	253Z00000X	In Home Supportive Care Agency
3	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1558666024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SUMMERHOUSE

Provider Business Mailing Address
First Line	:	1241 OMAR ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-7133
Country	:	US
Telephone Number	:	713-868-6067
Fax Number	:

Provider Business Practice Location Address
First Line	:	1241 OMAR ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-7133
Country	:	US
Telephone Number	:	713-868-6067
Fax Number	:

Authorized Official
Title or Position	:	OWNER/REGISTERED AGENT
Name	:	MS. DONNA T FRUGE
Credential	:
Telephone Number	:	713-825-9581

Provider Enumeration Date	:	01/14/2011
Last Update Date	:	01/14/2011

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Directions to “THE SUMMERHOUSE ” Practice Location

Language	Start Address	Practice Location

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