Organization Active NPI

Summit Renal Services, LLC

  • Home Health Agency
  • Mission, TX
National Provider Identifier
1245698448
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUMMIT RENAL SERVICES, LLC
Practice address
2121 E Griffin Pkwy
Suite 12
Mission, TX 78572-3241
Phone
(956) 248-6808
Fax
(956) 627-5655
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Hugo Hebeto Gutierrez
Title
Ceo/President
Phone
(956) 248-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2121 E Griffin Pkwy
Suite 12
Mission, TX 78572-3241

Mailing address

1616 E Griffin Pkwy
#202
Mission, TX 78572-3180
Phone (956) 248-6808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1245698448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E GRIFFIN PKWY",
            "address_2": "#202",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723180",
            "telephone_number": "956-248-6808",
            "fax_number": "956-627-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY",
            "address_2": "SUITE 12",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723241",
            "telephone_number": "956-248-6808",
            "fax_number": "956-627-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RENAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "HEBETO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "956-248-6808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.