Active NPI
Summit Home Health Care
- Home Health Agency
- Laramie, WY
National Provider Identifier
1184777625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 07 096
- Legal business name
- SUMMIT HOME HEALTH CARE
- Practice address
- 204 McCollum Dr
Suite 106
Laramie, WY 82070-5103 - Phone
- (307) 721-2827
- Fax
- (307) 742-3611
- NPI assigned
- Jan 19, 2007
- Last updated
- Nov 9, 2010
- 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
- Mrs. Katherine Anne Klein, RN
- Title
- President
- Phone
- (307) 721-2827
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 10236 | WY | |
| Home Health Agency | 251E00000X | 07 096 | WY | Primary |
Addresses
Primary practice location
204 McCollum Dr
Suite 106
Laramie, WY 82070-5103
Mailing address
204 McCollum Dr
Suite 106
Laramie, WY 82070-5103
Phone (307) 721-2827
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119002402 | Medicaid | WY | |
| 119002401 | Medicaid | WY | |
| 119002400 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
1401 Airport Pkwy
Ste 220
Cheyenne, WY 82001
Phone (307) 778-3000
204 McCullum Dr
Ste 106
Laramie, WY 82070
Phone (307) 721-2827
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2016 | Change of Ownership | Enhabit Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Enhabit Home Health
- Home Health Agency
- Laramie, WY
- NPI 1952857674
Sold to, 2016-10-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1184777625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MCCOLLUM DR",
"address_2": "SUITE 106",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705103",
"telephone_number": "307-721-2827",
"fax_number": "307-742-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MCCOLLUM DR",
"address_2": "SUITE 106",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705103",
"telephone_number": "307-721-2827",
"fax_number": "307-742-3611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-721-2827",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WY",
"license": "10236",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WY",
"license": "07 096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119002402",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119002401",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119002400",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.