Summit LTC Weatherford II, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUMMIT LTC WEATHERFORD II, LLC

Practice address

700 S Bowie Dr
Weatherford, TX 76086-5140

Phone

(817) 594-2715

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Christopher Michael Slimmer

Title

Manager

Phone

(682) 499-2894

Specialties & licenses 1

Addresses

Other names 1

• Keeneland Nursing & Rehabilitation 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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kris H Wusterhausen, DO

  • Family Medicine Physician
  • Weatherford, TX
  • NPI 1780681114
  NPD (past)

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1679160089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S BOWIE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S BOWIE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865140",
            "telephone_number": "817-594-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT LTC WEATHERFORD II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "SLIMMER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "682-499-2894"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keeneland Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Sudderth, MPT
• Emilia Sudduth
• Syed Umar Suhail, DO
• Kendra Sullivan
• Crystal Lenique Summerhill, RBT
• Sunset Medical Consulting
• Suzanne M. Guynes, M.D.P.a.
• Kala Janae Swinney
• Symbiox Health Network LLC
• Kendra Elise Synowsky, LPC

• Skilled Nursing Facility in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.