Active NPI
Summit House
- Assisted Living Facility
- Britt, IA
National Provider Identifier
1104044718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SUMMIT HOUSE
- Practice address
- 600 1St St NW
Britt, IA 50423-1257 - Phone
- (641) 843-3333
- Fax
- (503) 485-1279
- NPI assigned
- Apr 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Harder
- Title
- Ceo President
- Phone
- (503) 485-8697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
600 1St St NW
Britt, IA 50423-1257
Mailing address
PO Box 3006
Salem, OR 97302-0006
Phone (503) 485-8697
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2049646 | Summit House Independent | Certificate of waiver | Nov 8, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104044718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3006",
"city": "SALEM",
"state": "OR",
"postal_code": "973020006",
"telephone_number": "503-485-8697",
"fax_number": "503-485-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 1ST ST NW",
"city": "BRITT",
"state": "IA",
"postal_code": "504231257",
"telephone_number": "641-843-3333",
"fax_number": "503-485-1279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARDER",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "503-485-8697"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Britt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.