MEDICARE: SUMMIT HOMECARE SERVICES EL PASO, INC.

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

General Provider Information

NPI Number	:	1861684961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT HOMECARE SERVICES EL PASO, INC.

Provider Business Mailing Address
First Line	:	7475 CALLAGHAN RD
Second Line	:	STE 203
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-2969
Country	:	US
Telephone Number	:	800-615-3877
Fax Number	:	800-615-3876

Provider Business Practice Location Address
First Line	:	7475 CALLAGHAN RD
Second Line	:	STE 203
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-2969
Country	:	US
Telephone Number	:	800-615-3877
Fax Number	:	800-615-3876

Authorized Official
Title or Position	:	CFO
Name	:	MRS. ROSALBA SAENZ
Credential	:
Telephone Number	:	800-615-3877

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	08/13/2007

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