Organization Active NPI

Summit Home Healthcare LLC

  • Non-emergency Medical Transport (VAN)
  • Stafford, VA
National Provider Identifier
1629548896
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUMMIT HOME HEALTHCARE LLC
Doing business as
GloDan Transportation
Practice address
1229 Garrisonville Rd Ste 204
Stafford, VA 22556-3655
Phone
(540) 426-4929
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Gloria Owusu
Title
Administrator
Phone
(540) 426-4929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1229 Garrisonville Rd Ste 204
Stafford, VA 22556-3655

Mailing address

1229 Garrisonville Rd Ste 204
Stafford, VA 22556-3655
Phone (540) 426-4929

Other identifiers 2

IdentifierTypeStateIssuer
HCO-212313OtherVAVDH HOME CARE LICENSED
754OtherVADMV NEMT CERTIFICATION

Other names 1

  • GloDan Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

1229 Garrisonville Rd
Ste 204
Stafford, VA 22556
Phone (540) 426-4929

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1629548896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 GARRISONVILLE RD STE 204",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563655",
            "telephone_number": "540-426-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 GARRISONVILLE RD STE 204",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563655",
            "telephone_number": "540-426-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-426-4929"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VDH HOME CARE LICENSED",
            "identifier": "HCO-212313",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV NEMT CERTIFICATION",
            "identifier": "754",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GloDan Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GloDan Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.