Summit Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

P-912 Issued in WY

Legal business name

SUMMIT HOME HEALTH CARE

Practice address

2510 E 15TH St
St 5
Casper, WY 82609-4111

Phone

(307) 333-4379

Fax

(307) 333-4981

NPI assigned

Jul 19, 2016

Last updated

Sep 23, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT HOME HEALTH CAREAs reported in NPPES

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) 760-4338

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Summit Home Health Care2 organizations share this tax ID, including this one

Part of

Summit Home Health Care

Other organizations with this tax ID 1

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

• Summit Home Health Care

  • In Home Supportive Care Agency
  • Laramie, WY
  • NPI 1407000342
  NPD tax ID

Locations

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1376996959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E 15TH ST",
            "address_2": "ST 5",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094111",
            "telephone_number": "307-333-4379",
            "fax_number": "307-333-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E 15TH ST",
            "address_2": "ST 5",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094111",
            "telephone_number": "307-333-4379",
            "fax_number": "307-333-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HOME HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT HOME HEALTH CARE",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-09-23",
        "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": "307-760-4338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WY",
            "license": "P-912",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WY",
            "license": "P-912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144113200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Sullivan, MD
• Jennifer Sullivan
• Teneil Rachelle Sullivan, R.N.
• Daniel Fridolin Sulser, MD
• Ahmad Billal Sultani, M.D.
• Summit Medical Center, LLC (Summit Medical Center Physicians Group)
• Summit Medical Center, LLC
• Summit Medical Center, LLC (Summit Pain Clinic)
• Summit Memorial Medical Group LLC
• Summit Pathology

• Home Health Agency in Casper, WY
• Providers in Casper, WY by specialty
• Home Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.