Provider Demographics
NPI:1962540856
Name:SUMMITCARE, LLC
Entity type:Organization
Organization Name:SUMMITCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-369-3639
Mailing Address - Street 1:1 MOUNTAIN BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5613
Mailing Address - Country:US
Mailing Address - Phone:732-369-3639
Mailing Address - Fax:732-369-3625
Practice Address - Street 1:1 MOUNTAIN BOULEVARD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5613
Practice Address - Country:US
Practice Address - Phone:732-369-3639
Practice Address - Fax:732-369-3625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0084000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health