JB Kummer Enterprises LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JB KUMMER ENTERPRISES LLC

Practice address

916 8TH St
Farmington, MN 55024-1438

Phone

(651) 460-4201

NPI assigned

Mar 27, 2021

Organization subpart

No

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

Authorized official

Name

Jaime Kummer

Title

President

Phone

(651) 460-4201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Home health agency certification: CCN 248033

Legal name

JB KUMMER ENTERPRISES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 6, 1996

Last certification

Oct 28, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 29, 2020 in MN

Enrollment address

916 8TH St
Farmington, MN 55024-1438

Listed as

JB Kummer Enterprises LLCCCN 248033

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jan 6, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

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

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• River Valley Home Care Inc

  • Home Health Agency
  • Farmington, MN
  • NPI 1023014412

  Acquired from, 2021-04-30

  CMS change of ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Megan Susan Johnston Flanders, MD

  • Family Medicine Physician
  • Cannon Falls, MN
  • NPI 1033317730

  Home health agency

  Care Compare affiliation
• Randolph J Reister, MD

  • Internal Medicine Physician
  • Northfield, MN
  • NPI 1952385114

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616803200000",
    "number": "1609453323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 8TH ST",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 8TH ST",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241438",
            "telephone_number": "651-460-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB KUMMER ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "KUMMER",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-460-4201"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Farmington, MN
• Providers in Farmington, 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 27, 2021; 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.