NPIMap

Organization Active NPI

Summit Acres Home Care

  • Home Health Agency
  • Caldwell, OH
National Provider Identifier
1114180387
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUMMIT ACRES HOME CARE
Practice address
39 Summit CT
Caldwell, OH 43724-9033
Phone
(740) 732-5712
Fax
(740) 732-7350
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald J Crock
Title
Administrator
Phone
(740) 732-5712

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X OH
Non-emergency Medical Transport (VAN) 343900000X OH

Addresses

Primary practice location

39 Summit CT
Caldwell, OH 43724-9033

Mailing address

39 Summit CT
Caldwell, OH 43724-9033
Phone (740) 732-5712

Other identifiers 1

IdentifierTypeStateIssuer
0183813MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Summit Acres Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1114180387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SUMMIT CT",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249033",
            "telephone_number": "740-732-5712",
            "fax_number": "740-732-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SUMMIT CT",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249033",
            "telephone_number": "740-732-5712",
            "fax_number": "740-732-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ACRES HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "CROCK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-732-5712"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183813",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.