Guthrie Enterprises, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

034684 Issued in MO

Legal business name

GUTHRIE ENTERPRISES, INC.

Doing business as

Summit Villa Lifecare

Practice address

229 Karen Dr
Holts Summit, MO 65043-2522

Phone

(573) 896-8567

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David L Nolting

Title

Administrator

Phone

(573) 896-8567

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summit Villa Lifecare Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1265620199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 KAREN DR",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "650432522",
            "telephone_number": "573-896-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 KAREN DR",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "650432522",
            "telephone_number": "573-896-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "NOLTING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-896-8567"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "034684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8470408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Villa Lifecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Curtis W Dyer, MD
• Stephanie Eddy, LCSW
• James R Ennis, DO
• Nichole Danielle Gentzsch, LPTA
• Allison Gohring, ED.D, BCBA, LBA
• Sarah Highland
• Lindsey Diane Holt, MOTR/L
• Samuel Hughes, M.D.
• Mary Elizabeth Martin
• Mat Enterprises LLC (Summit Pharmacy)

• Assisted Living Facility in Holts Summit, MO
• Providers in Holts Summit, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.

Verify at the official NPI Registry.