SUMMER HILL ASSISTED LIVING LLC NPI 1689751919

NPI Information

  • NPI: 1689751919
  • Provider Name: SUMMER HILL ASSISTED LIVING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUMMER HILL
  • CLIA Number: 50D2077407
  • Address: 165 SW 6TH AVE
    OAK HARBOR, WA
    ZIP 98277
  • Phone: (360) 679-1400

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NPI Details

SUMMER HILL ASSISTED LIVING, LLC is an assisted living facility in Oak Harbor, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SUMMER HILL ASSISTED LIVING, LLC NPI is 1689751919. The provider is registered as an organization entity type.
The provider Is Doing Business As Summer Hill.

The provider's business location address is:

165 SW 6TH AVE
OAK HARBOR, WA
ZIP 98277-389
Phone: (360) 679-1400
Fax: (360) 675-2205

The provider's authorized official is John B Goodman .
The authorized official title is Chief Manager and has the following contact phone number (952) 361-8000.

The CLIA number assigned to this NPI record is 50D2077407 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityBH1839WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1705314MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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