Provider Demographics
NPI:1548494784
Name:SUMAR HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:SUMAR HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING/ALTERNATE ADMIN
Authorized Official - Prefix:MISS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAJA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-162-0142
Mailing Address - Street 1:9100 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1519
Mailing Address - Country:US
Mailing Address - Phone:281-261-0142
Mailing Address - Fax:
Practice Address - Street 1:9100 SOUTHWEST FWY
Practice Address - Street 2:SUITE 107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1519
Practice Address - Country:US
Practice Address - Phone:281-261-0142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2830606Medicaid