Provider Demographics
NPI:1750263810
Name:SUMMIT ESTATE RECOVERY CENTERS LLC
Entity type:Organization
Organization Name:SUMMIT ESTATE RECOVERY CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-983-9466
Mailing Address - Street 1:7280 BLUE HILL DR STE 7
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3624
Mailing Address - Country:US
Mailing Address - Phone:800-701-6997
Mailing Address - Fax:323-576-5345
Practice Address - Street 1:7280 BLUE HILL DR STE 7
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3624
Practice Address - Country:US
Practice Address - Phone:800-701-6997
Practice Address - Fax:323-576-5345
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMIT ESTATE RECOVERY CENTERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility