Organization Active NPI

Summit Homecare LLC

  • In Home Supportive Care Agency
  • Des Moines, IA
National Provider Identifier
1891581757
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Apr 17, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.