SUMMERHILL (NPI# 1336326859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336326859 |
| Entity Type | Organization |
| Organization Name | SUMMERHILL |
| Practice Address |
6350 Hawfield Dr Fayetteville NC 28303-2021 |
| Mailing Address |
2825 Arlington Ave Fayetteville NC 28303-5403 |
| Practice Telephone | 9108678995 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | NIKKI GIOVANNI CREECY (CEO) |
| Authorized Official Telephone | 9102576406 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHINELIGHT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL026814 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418071 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SUMMERHILL | 7275 Ne Haugen Rd, Corvallis, OR 97330 |
| Washington State Corporations | SUMMERHILL APARTMENT COMMUNITIES | 3000 Executive Pkwy Ste 450, San Ramon, CA 94583 |
| Colorado Business Entities | Summerhill Asset Management, LP | 0133 Prospector Rd, Suite 4102, Aspen, CO 81611 |
| Washington State Corporations | SUMMERHILL COMMUNITY ASSOCIATION | 1433 Copper Loop, East Wenatchee, WA 98802 |
| Connecticut Business Registrations | Summerhill Consulting, LLC | 214 Summer Hill Rd, Madison, CT 06443 |
| New York State Corporations | SUMMERHILL ESTATE CARE, LLC | Twomey, Latham Et Al, 33 West Second Street, Riverhead, Ny 11901 |
| Washington State Corporations | SUMMERHILL ESTATES, LLC | 7732 Westerly Lane, Bainbridge Island, WA 98110 |
| Washington State Corporations | SUMMERHILL FAMILY LIMITED LIABILITY COMPANY | 1505 7th St Sw, Puyallup, WA 98371 |
| Washington State Corporations | SUMMERHILL FARMS LLC | 10035 318th Ave Ne, Carnation, WA 98014-9725 |
| Washington State Corporations | SUMMERHILL FIRST ADDITION HOMEOWNERS ASSOCIATION | 2522 W 10th St, Washougal, WA 98671 |
| Street Address |
6350 HAWFIELD DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861697203 | Nikki Crecy | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6350 Hawfield Dr, Fayetteville, NC 28303-2021 | 2007-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841612215 | Ravenwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 190 Bonney Ln, Fayetteville, NC 28306-3736 | 2014-01-20 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1750713921 | The Loving Home, Inc. #4 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1710 Scampton Dr, Fayetteville, NC 28303-3742 | 2013-07-30 |
| 1336580620 | Sophia B. Pierce & Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1128 Paddington Pl, Fayetteville, NC 28314-6304 | 2013-07-15 |
| 1730457458 | Georgia Community Living Facilities LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 500 Lanier Ave W Ste 610, Fayetteville, GA 30214-7644 | 2011-12-08 |
| 1720398282 | Joyful Living Group Home #3 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2809 Eldorado Rd, Fayetteville, NC 28306-1916 | 2010-10-18 |
| 1518274695 | Cyshelle Williams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4604 Pine Needle Ct, Fayetteville, NC 28314-2463 | 2010-09-09 |
| 1639322472 | Joyful Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6125 Louise St, Fayetteville, NC 28314-2720 | 2008-10-24 |
| 1326291246 | Joyful Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1951 Ireland Dr, Fayetteville, NC 28304-1504 | 2008-10-23 |
| 1366699415 | Stepping Stones Group Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1446 Pamalee Drive, Fayetteville, NC 28303 | 2008-08-20 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on SUMMERHILL.
| 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.