SUMMIT HEALTHCARE, INC
NPI 1194969287
Home Health in Minneapolis, MN

Active since April 21, 2009CLIA 24D1016547 · Waiver
3018 E LAKE ST, MINNEAPOLIS, MN 55406(612) 721-7776 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Healthcare, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT HEALTHCARE, INC (NPI 1194969287) is a healthcare organization registered as a home health in Minneapolis, Minnesota and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Maxwell Aforo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194969287
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUMMIT HEALTHCARE, INC
Location Address3018 E LAKE STMinneapolis, MN 55406-2001
Mailing Address3018 E Lake StMinneapolis, MN 55406-2001 · (612) 721-7776
Organization SubpartNo
Authorized OfficialMaxwell AforoAdministrator · (612) 721-7776
Enumeration DateApril 21, 2009
NPI 1194969287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
3018 E LAKE ST, Minneapolis, MN 55406

Other Identifiers 1

Medicaid013519400MN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1016547

Summit Healthcare Inc · Minneapolis, MN
Active · expires Sep 1, 2027
CLIA Number24D1016547
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorMaxwell Aforo
Laboratory Phone(651) 645-9341
Laboratory LocationSummit Healthcare Inc3018 East Lake Street, Minneapolis, MN 55406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3018 E LAKE ST
MINNEAPOLIS, MN 55406
Home Health Aide
3018 E LAKE ST
MINNEAPOLIS, MN 55406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Healthcare, Inc's NPI number?

The NPI number for Summit Healthcare, Inc is 1194969287. It was assigned to this organization in the NPPES registry on April 21, 2009.

Where is Summit Healthcare, Inc located?

Summit Healthcare, Inc is located at 3018 E Lake St, Minneapolis, MN 55406. The listed phone number is (612) 721-7776.

What is Summit Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Summit Healthcare, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1016547) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Healthcare, Inc was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.