Summer Skys Group Home LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUMMER SKYS GROUP HOME LLC

Practice address

5028 S 23Rd Dr
Phoenix, AZ 85041-2969

Phone

(602) 601-2045

NPI assigned

Aug 5, 2021

Organization subpart

No

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

Authorized official

Name

Yasin Muhammad

Title

Administrator

Phone

(602) 559-7869

Specialties & licenses 1

Addresses

Other names 1

• Summer Skys Group Home Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1992479737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 S 23RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412969",
            "telephone_number": "602-601-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 S 23RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412969",
            "telephone_number": "602-601-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER SKYS GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "YASIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-559-7869"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Support@summerskysgh.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "5028 S 23rd Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850412969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Summer Skys Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Bella Sumayod, NP
• Mariah Faith Sumerel
• Sumir Mathur, DMD, PLC
• Tamara Neshae Sumler, NP
• Summer Breeze Health LLC
• Barry Summer, MD
• Katina Marie Summerford, MD
• Summerhaven Assisted Living Home LLC
• Jancarlo Jair Summers-Hernandez, PTA, CSCS
• Christina Summers, FNP-C

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.