Provider Demographics
NPI:1497140669
Name:SUMMERWOOD HOME HEALTH SERVICES OF DISTRICT 6, LLC
Entity type:Organization
Organization Name:SUMMERWOOD HOME HEALTH SERVICES OF DISTRICT 6, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-296-7278
Mailing Address - Street 1:2033 MAIN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6056
Mailing Address - Country:US
Mailing Address - Phone:941-952-9411
Mailing Address - Fax:941-952-9331
Practice Address - Street 1:1120 CYPRESS GARDENS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-1919
Practice Address - Country:US
Practice Address - Phone:863-683-5010
Practice Address - Fax:863-683-5020
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMERWOOD HEALTHCARE HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-03
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991837251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651021300Medicaid
FL108022Medicare PIN