Summerwood Private Duty Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

299992726 Issued in FL

Legal business name

SUMMERWOOD PRIVATE DUTY SERVICES

Practice address

2003 Bartow Rd
Lakeland, FL 33801-6556

Phone

(941) 952-9411

Fax

(941) 952-9331

NPI assigned

Apr 3, 2015

Organization subpart

Yes

Parent organization

SUMMERWOOD HEALTHCARE HOLDINGSAs reported in NPPES

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

Authorized official

Name

Kerry Demers, RN

Title

President & Ceo

Phone

(941) 952-9411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartelt Private Duty Services Other name

Locations

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1821483090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 MAIN ST",
            "address_2": "SUITE 300",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376056",
            "telephone_number": "941-952-9411",
            "fax_number": "941-952-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 BARTOW RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016556",
            "telephone_number": "941-952-9411",
            "fax_number": "941-952-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERWOOD PRIVATE DUTY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERWOOD HEALTHCARE HOLDINGS",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "DEMERS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "941-952-9411",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "299992726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "299992726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartelt Private Duty Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.