Summit Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

335895 Issued in MN

Legal business name

SUMMIT HOME HEALTH CARE, INC.

Practice address

800 Boone Ave N
Suite 175
Golden Valley, MN 55427-4468

Phone

(763) 546-8477

Fax

(763) 417-9999

NPI assigned

May 7, 2007

Last updated

Mar 9, 2009By 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

Mr. Mark Olshansky

Title

Administrator

Phone

(763) 546-8477

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588877583. Details of each certification follow.

• CCN 248089 Home health agency · Active · Details

Home health agency certification: CCN 248089

Legal name

SUMMIT HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 13, 2005

Last certification

Feb 12, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 10, 2004 in MN

Enrollment address

800 Boone Avenue North
Suite 175
Golden Valley, MN 55427-4468

Listed as

Summit Home Health Care IncCCN 248089 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Jul 13, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1588877583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N",
            "address_2": "SUITE 175",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274468",
            "telephone_number": "763-546-8477",
            "fax_number": "763-417-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N",
            "address_2": "SUITE 175",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274468",
            "telephone_number": "763-546-8477",
            "fax_number": "763-417-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "OLSHANSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-546-8477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "335895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "924635500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Teresa Strom, LICSW
• Nancy Strong, RN, AGNP
• Gary Edward Stucky, MA/LP
• Jessica Lauren Stulc, MD
• Sienneh Subah
• Superior Hospice Inc.
• Supreme Home Care Provider, LLC
• Christa Ruth Surerus, LPCC
• Lisa Sutton, PHARMD
• Amy Svenningsen

• Home Health Agency in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.
• 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.