Active NPI
Summit Home Healthcarre, LLC
- Home Health Agency
- Ellisville, MO
National Provider Identifier
1134675788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUMMIT HOME HEALTHCARRE, LLC
- Practice address
- 11511 Manchester Road
Ellisville, MO 63021 - Phone
- (618) 317-0829
- NPI assigned
- Sep 1, 2016
- 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
- Eric Hewitt
- Title
- Administrator
- Phone
- (618) 317-0829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11511 Manchester Road
Ellisville, MO 63021
Mailing address
11511 Manchester Road
Ellisville, MO 63021
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472688000000",
"number": "1134675788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 MANCHESTER ROAD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "63021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 MANCHESTER ROAD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "63021",
"telephone_number": "618-317-0829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT HOME HEALTHCARRE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A",
"authorized_official_last_name": "HEWITT",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "618-317-0829"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.