Active NPI
Summit Homecare LLC
- In Home Supportive Care Agency
- Des Moines, IA
National Provider Identifier
1891581757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SUMMIT HOMECARE LLC
- Practice address
- 3300 SW 9TH St Ste 6
Des Moines, IA 50315-7666 - Phone
- (515) 478-3315
- NPI assigned
- Apr 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prakash Mangpanng
- Title
- Owner
- Phone
- (515) 478-3315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3300 SW 9TH St Ste 6
Des Moines, IA 50315-7666
Mailing address
3300 SW 9TH St Ste 6
Des Moines, IA 50315-7666
Phone (515) 478-3315
National Provider Directory
National Provider DirectoryLocations
3300 SW 9th St
Ste 6
Des Moines, IA 50315
Phone (515) 478-3315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744848000000",
"number": "1891581757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 SW 9TH ST STE 6",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157666",
"telephone_number": "515-478-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 SW 9TH ST STE 6",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157666",
"telephone_number": "515-478-3315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-17",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A",
"authorized_official_last_name": "MANGPANNG",
"authorized_official_first_name": "PRAKASH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-478-3315"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.