MEDICARE: THE SUMMIT HOME CARE 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	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1912542721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SUMMIT HOME CARE INC

Provider Business Mailing Address
First Line	:	3309 AGATE TRL
Second Line	:
City	:	HEARTLAND
State	:	TX
Zip	:	75126-1180
Country	:	US
Telephone Number	:	214-607-7780
Fax Number	:	214-607-7780

Provider Business Practice Location Address
First Line	:	3309 AGATE TRL
Second Line	:
City	:	HEARTLAND
State	:	TX
Zip	:	75126-1180
Country	:	US
Telephone Number	:	214-607-7780
Fax Number	:	214-607-7780

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULIUS BUDZI
Credential	:
Telephone Number	:	214-607-7780

Provider Enumeration Date	:	11/15/2019
Last Update Date	:	11/15/2019

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Directions to “THE SUMMIT HOME CARE INC ” Practice Location

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