Summit Healthcare Organization - Bay Area, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550003065 Issued in CA

Legal business name

SUMMIT HEALTHCARE ORGANIZATION - BAY AREA, LLC

Practice address

39899 Balentine Dr
Suite 314
Newark, CA 94560-5366

Phone

(510) 573-2415

Fax

(888) 875-0832

NPI assigned

Apr 5, 2016

Last updated

Apr 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Bliss

Title

Administrator

Phone

(408) 609-0245

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1548624695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR",
            "address_2": "SUITE 314",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605366",
            "telephone_number": "510-573-2415",
            "fax_number": "888-875-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR",
            "address_2": "SUITE 314",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605366",
            "telephone_number": "510-573-2415",
            "fax_number": "888-875-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE ORGANIZATION - BAY AREA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-609-0245"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550003065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rexson Talens

• Home Health Agency in Newark, CA
• Providers in Newark, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.