SUMMIT HOME HEALTHCARE LLC (NPI# 1629548896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629548896 |
| Entity Type | Organization |
| Organization Name | SUMMIT HOME HEALTHCARE LLC |
| Other Organization Name | GLODAN TRANSPORTATION |
| Practice Address |
1229 Garrisonville Rd Ste 204 Stafford VA 22556-3655 |
| Practice Telephone | 5404264929 |
| Mailing Telephone | 5404264929 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | GLORIA OWUSU (ADMINISTRATOR) |
| Authorized Official Telephone | 5404264929 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DMV NEMT CERTIFICATION | 754 | 01 |
| VA | VDH HOME CARE LICENSED | HCO-212313 | 01 |
| Other Name | Type Code |
|---|---|
| GloDan Transportation | Doing Business As Name - Organization |
| Street Address |
1229 GARRISONVILLE RD STE 204 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22556-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686995 | In Place Health Providers LLC | Home Health | 40 Winning Colors Rd, Stafford, VA 22556 | 2020-07-11 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1336661271 | Cala Booth | Licensed Practical Nurse | 48 Boundary Dr, Stafford, VA 22556 | 2017-07-12 |
| 1790130235 | Travis Cole | Contractor | 80 Cherry Hill Drive, Stafford, VA 22556 | 2016-05-03 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
| 1457381766 | Pediatric Partners of Stafford PC | Pediatrics | 110 Soaring Eagle Drive, Stafford, VA 22556 | 2006-07-03 |
| 1386138436 | Laura Massena-mazur Coutcher | Pharmacist | 1505 Stafford Market Pl, Stafford, VA 22556 | 2018-06-20 |
| Find all providers in zip 22556 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839794 | Trust and Travel | Non-emergency Medical Transport (VAN) | 4950 Sugar Grove Blvd Apt 2205, Stafford, TX 77477-2616 | 2020-10-25 |
| 1710508338 | Benjamin Agbata | Non-emergency Medical Transport (VAN) | 12903 Sugar Ridge Blvd Apt 2501, Stafford, TX 77477-3133 | 2020-05-05 |
| 1992345573 | Maclean Boadu | Non-emergency Medical Transport (VAN) | 405 Knollwood Ct, Stafford, VA 22554-7561 | 2020-01-10 |
| 1720632797 | Grace Ems | Non-emergency Medical Transport (VAN) | 215 Promenade Estates Ln, Stafford, TX 77477-1453 | 2019-07-29 |
| 1588183792 | Batiste Smart Transportation,llc | Non-emergency Medical Transport (VAN) | 121 Arla Ct, Stafford, VA 22554-9439 | 2017-09-19 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1497136295 | Bastro LLC | Non-emergency Medical Transport (VAN) | 2002 War Admiral Dr, Stafford, TX 77477-6334 | 2015-06-17 |
| 1043634751 | Authorbelly Motors | Non-emergency Medical Transport (VAN) | 314 Wheelhouse Ct, Stafford, TX 77477 | 2014-02-17 |
| 1679868442 | Brandis Transportation Sservices | Non-emergency Medical Transport (VAN) | 11631 Scottsdale Dr, Stafford, TX 77477-1816 | 2011-06-09 |
| 1740459759 | The Sweetest Stuff, LLC | Non-emergency Medical Transport (VAN) | 155 Squires Bnd, Stafford, TX 77477-6233 | 2008-02-23 |
| Find all providers in STAFFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.