Organization Active NPI

Summit Health Development, LLC

Doing business as Aiden Health Care

  • Home Health Agency
  • Corpus Christi, TX
National Provider Identifier
1679043848
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUMMIT HEALTH DEVELOPMENT, LLC
Doing business as
Aiden Health Care
Practice address
3210 Reid Dr Ste C
Corpus Christi, TX 78404-2524
Phone
(361) 861-5059
Fax
(361) 239-5087
NPI assigned
Nov 30, 2018
Last updated
Nov 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Dana Mircovich, RNNPI 1275194649
Title
Administrator/Owner
Phone
(361) 861-5059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU Primary
Home Infusion Agency 251F00000X NU
Nursing Care Agency 251J00000X NU
Child Physical Disabilities Respite Care 385HR2065X NU

Addresses

Primary practice location

3210 Reid Dr Ste C
Corpus Christi, TX 78404-2524

Mailing address

3210 Reid Dr Ste C
Corpus Christi, TX 78404-2524
Phone (361) 861-5059

Other names 1

  • Aiden Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

3210 Reid Dr
Ste C
Corpus Christi, TX 78404
Phone (361) 861-5059

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1543536000000",
    "number": "1679043848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 REID DR STE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042524",
            "telephone_number": "361-861-5059",
            "fax_number": "361-239-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 REID DR STE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042524",
            "telephone_number": "361-861-5059",
            "fax_number": "361-239-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "MIRCOVICH",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "361-861-5059",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aiden Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.