| Entity Name: | SUMMIT HOME RESPIRATORY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Sep 1983 (41 years ago) |
| Document Number: | G60163 |
| FEI/EIN Number | 592321210 |
| Address: | 1085 BUSINESS LANE UNIT 2, NAPLES, FL, 34110, US |
| Mail Address: | 1085 BUSINESS LANE UNIT 2, NAPLES, FL, 34110, US |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265699979 | 2008-05-20 | 2008-05-20 | 1467 RAIL HEAD BLVD, NAPLES, FL, 341108444, US | 1467 RAIL HEAD BLVD, NAPLES, FL, 341108444, US | |||||||||||||||||||||
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| Phone | +1 239-596-5000 |
| Fax | 2395965017 |
Authorized person
| Name | MR. KEITH E GLISCH |
| Role | CEO |
| Phone | 2395965000 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 027397002 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Dodd James E | Agent | 1085 BUSINESS LANE UNIT 2, NAPLES, FL, 34110 |
| Name | Role | Address |
|---|---|---|
| Dodd James E | President | 1085 BUSINESS LANE UNIT 2, NAPLES, FL, 34110 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000105348 | SUMMIT HOME HEALTH PRODUCTS | EXPIRED | 2012-10-30 | 2017-12-31 | No data | 1467 RAIL HEAD ROAD, NAPLES, FL, 34110 |
| G08319900153 | SUMMIT HOME HEALTHCARE PRODUCTS | ACTIVE | 2008-11-14 | 2028-12-31 | No data | 1085 BUSINESS LANE, UNIT #2, NAPLES, FL, 34110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 1993-12-06 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
