NPIMap

Organization Active NPI

Summit Home Respiratory Services, Inc

  • Customized Equipment (DME)
  • Naples, FL
National Provider Identifier
1164583456
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
111 Issued in FL
Legal business name
SUMMIT HOME RESPIRATORY SERVICES, INC
Practice address
1467 Rail Head Blvd
Naples, FL 34110-8444
Phone
(239) 596-5000
Fax
(239) 596-5017
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Eckhardt
Title
President/Ceo
Phone
(239) 596-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 111 FL Primary

Addresses

Primary practice location

1467 Rail Head Blvd
Naples, FL 34110-8444

Mailing address

1085 Business LN Ste 2
Naples, FL 34110-8470
Phone (239) 596-5000

Other identifiers 7

IdentifierTypeStateIssuer
027397096MedicaidFL
027397001MedicaidFL
027397098MedicaidFL
027397000MedicaidFL
027397002MedicaidFL
027397079MedicaidFL
027397007MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930063366 FL DME Supplier - Medical Supply Company 0446377865 Practice locations: Naples, FL

National Provider Directory

National Provider Directory
Tax ID family
Summit Home Respiratory Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1085 Business Ln
Ste 2
Naples, FL 34110
Phone (239) 596-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1164583456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 BUSINESS LN STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341108470",
            "telephone_number": "239-596-5000",
            "fax_number": "239-596-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 RAIL HEAD BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341108444",
            "telephone_number": "239-596-5000",
            "fax_number": "239-596-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HOME RESPIRATORY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "ECKHARDT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "239-596-5007"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027397096",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027397001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027397098",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027397000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027397002",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027397079",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027397007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.