Summit Home Wellness LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUMMIT HOME WELLNESS LLC

Practice address

14001 N 7TH St Ste E109D
Phoenix, AZ 85022-4382

Phone

(602) 960-8030

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By 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

Eliyahu Ickovic

Title

Ceo

Phone

(602) 960-8030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1609759182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 N 7TH ST STE E109D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224382",
            "telephone_number": "602-960-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 N 7TH ST STE E109D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224382",
            "telephone_number": "602-960-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HOME WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "ICKOVIC",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-960-8030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Anesthesia Solutions PLLC
• Summit Dental Specialty PLLC
• Summit Health, LLC
• Summit Hip and Knee Institute LLC
• Summit Home Health LLC (Summit Home Health)
• Summit Institute of Illinois LLC
• Summit Institute of Indiana LLC
• Summit Institute of North Carolina LLC
• Summit MD LLC
• Summit Mental Health & Wellness PLLC

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.