Guthrie Enterprises, Inc.
Organization Active NPI Assisted Living Facility · Holts Summit, MO
NPI 1265620199 · NPPES record last updated Oct 4, 2007
Key facts
- NPI
- 1265620199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 034684 (MO)
- Legal business name
- GUTHRIE ENTERPRISES, INC.
- Practice address
- 229 Karen Dr
Holts Summit, MO 65043-2522 - Phone
- (573) 896-8567
- NPI assigned
- Oct 4, 2007
- Organization subpart
- No
Authorized official
- Name
- David L Nolting
- Title
- Administrator
- Phone
- (573) 896-8567
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0917793 | Summit Villa Lifecare | Certificate of waiver | Jul 24, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 034684 | MO | Yes |
Addresses
Primary practice location
229 Karen Dr
Holts Summit, MO 65043-2522
Mailing address
229 Karen Dr
Holts Summit, MO 65043-2522
Phone (573) 896-8567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8470408 | Medicaid | MO |
Other names
- Summit Villa Lifecare
Other providers in Holts Summit, MO
- Curtis W Dyer
- Stephanie Eddy
- James R Ennis
- Nichole Danielle Gentzsch
- Allison Gohring
- Sarah Highland
- Lindsey Diane Holt
- Samuel Hughes
- Mary Elizabeth Martin
- Mat Enterprises LLC
All providers in Holts Summit, MO · Assisted Living Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.