SUMMIT HEALTHCARE ASSOCIATION (NPI# 1134199839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134199839 |
| Entity Type | Organization |
| Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Other Organization Name | SUMMIT HEALTHCARE HOME HEALTH |
| Practice Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7881 |
| Practice Telephone | 9285374375 |
| Practice Fax Number | 9285378839 |
| Mailing Telephone | 9285374375 |
| Mailing Fax Number | 9285378839 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-06-18 |
| Authorized Official Name | MR. KENNETH R ALLEN (ADMINISTRATION) |
| Authorized Official Telephone | 9285376399 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HHA0032 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 191354 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Healthcare Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
| 1326549031 | Summit Healthcare Association | Non-Pharmacy Dispensing Site | 2352 Quarter Horse Trail, Overgaard, AZ 85933 | 2018-02-27 |
| 1710143607 | Summit Healthcare Association | Anesthesiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2008-07-31 |
| 1083736128 | Summit Healthcare Association | Clinic/Center | 2500 E Hunt St, Suite H, Show Low, AZ 85901-7954 | 2007-04-06 |
| 1144209271 | Summit Healthcare Association | General Acute Care Hospital | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT HEALTHCARE ASSOCIATION | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Street Address |
2200 E SHOW LOW LAKE RD |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054154 | David Kies | Anesthesiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2005-06-27 |
| 1568089787 | Austin Johnson | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2020-07-03 |
| 1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
| 1174187546 | Constance L Collman | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-04-30 |
| 1912463084 | Sophie Shizuyo Jessop | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-02-14 |
| 1851870919 | Mary Jane Wild Sorenson | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2018-08-09 |
| 1235641382 | Nicolette Broby | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-30 |
| 1689184616 | Chasen Kenneth Halcomb | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-04 |
| 1255859567 | Shane Mcbride Smith | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-09-07 |
| 1780109710 | Tina Jean Palone | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689147258 | Home Health Flagstaff LLC | Home Health | 3051 S White Mountain Rd Ste D, Show Low, AZ 85901-7436 | 2019-01-07 |
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| 1578162681 | Deshea Willis | Home Health | 21150 N Tatum Blvd Apt 3049, Phoenix, AZ 85050-7238 | 2020-10-20 |
| 1609474071 | Tender Loving Home Care LLC | Home Health | 4646 E Fort Lowell Rd Ste 106, Tucson, AZ 85712-1100 | 2020-10-16 |
| 1144828831 | Vital Homecare, Inc. | Home Health | 2375 E Camelback Rd Ste 632, Phoenix, AZ 85016-3424 | 2020-10-14 |
| 1124625645 | Bright Future Behavioral Homes LLC | Home Health | 4707 E Mcdowell Rd Apt 1197, Phoenix, AZ 85008-4534 | 2020-10-07 |
| 1578170643 | Arizona American Hospice | Home Health | 1325 S 123rd Dr, Avondale, AZ 85323-3140 | 2020-09-23 |
| 1083220891 | 360care | Home Health | 3719 S Atherton Blvd, Gilbert, AZ 85297-7431 | 2020-09-17 |
| 1255947156 | Royalty Healthcare LLC | Home Health | 5670 S Eucalyptus Pl, Chandler, AZ 85249-5224 | 2020-09-17 |
| 1346856374 | Family Care Home Health & Hospice | Home Health | 1695 Mesquite Ave Ste 108, Lake Havasu City, AZ 86403-5684 | 2020-09-16 |
| 1699380048 | Robinson Group | Home Health | 1735 E Baker Dr, Tempe, AZ 85282-7206 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.