Provider Demographics
NPI:1073356432
Name:SUMMERWOODS HEALTHCARE SERVICES
Entity type:Organization
Organization Name:SUMMERWOODS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAINABU
Authorized Official - Middle Name:N
Authorized Official - Last Name:OCHANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-399-6277
Mailing Address - Street 1:11911 BLUE SPRUCE CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:MN
Mailing Address - Zip Code:55327-4101
Mailing Address - Country:US
Mailing Address - Phone:952-256-2658
Mailing Address - Fax:
Practice Address - Street 1:8435 RED OAK DR
Practice Address - Street 2:
Practice Address - City:MOUNDS VIEW
Practice Address - State:MN
Practice Address - Zip Code:55112
Practice Address - Country:US
Practice Address - Phone:952-256-2658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No385H00000XRespite Care FacilityRespite Care