SUMMIT SUPPORT SERVICES OF ASHE INC. NPI 1740465160

NPI Information

NPI: 1740465160
Provider Name: SUMMIT SUPPORT SERVICES OF ASHE, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
120 ASHE ST
JEFFERSON, NC
ZIP 28640
Phone: (336) 846-4491
Get Directions

SUMMIT SUPPORT SERVICES OF ASHE, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Jefferson, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SUMMIT SUPPORT SERVICES OF ASHE, INC. NPI is 1740465160. The provider is registered as an organization entity type.

The provider's business location address is:

120 ASHE ST
JEFFERSON, NC
ZIP 28640-789
Phone: (336) 846-4491
Fax: (336) 846-4927

The provider's authorized official is Shari Anderson Rognstad .
The authorized official title is Executive Director and has the following contact phone number (336) 846-4491.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 11/20/2017.

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
1	251B00000X	Case Management				No
2	251C00000X	Day Training, Developmentally Disabled Services				No
3	251J00000X	Nursing Care				No
4	261QD1600X	Clinic/Center	Developmental Disabilities			No
5	311ZA0620X	Custodial Care Facility	Adult Care Home			No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-005-019	NORTH CAROLINA	Yes
7	333300000X	Emergency Response System Companies				No
8	253Z00000X	In Home Supportive Care				No

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
1	7804403	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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