SUMMERSET ASSISTED LIVING INC. (NPI# 1366963019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366963019 |
| Entity Type | Organization |
| Organization Name | SUMMERSET ASSISTED LIVING INC. |
| Practice Address |
3711 Benjamin E Mays Dr Sw Atlanta GA 30331-8600 |
| Practice Telephone | (404) 691-4545 |
| Practice Fax Number | 8663844420 |
| Mailing Telephone | 4046914545 |
| Mailing Fax Number | 8663844420 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Authorized Official Name | MR. JULIUS M WILLIS SR. (PRESIDENT/CEO) |
| Authorized Official Telephone | 4046914545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ALC000041 | GA | Ambulatory Health Care Facilities |
| Street Address |
3711 BENJAMIN E MAYS DR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936498 | Sec of Georgia Corp | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-08-08 |
| 1487126066 | Skylark Adh-atlanta LLC | Clinic/Center | 1705 Commerce Dr Nw Ste 200, Atlanta, GA 30318-3107 | 2018-12-20 |
| 1093204190 | Fulton County Government | Clinic/Center | 677 Fairburn Rd Nw, Atlanta, GA 30331-1423 | 2018-05-03 |
| 1568903805 | Skylark Adh-powers Ferry, LLC | Clinic/Center | 120 Interstate North Pkwy East, Se, Suite 420, Atlanta, GA 30339-2164 | 2017-03-20 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1235406711 | Safe Haven Lenox Park | Clinic/Center | 1137 Lynmoor Dr Ne, Atlanta, GA 30319-4125 | 2011-11-28 |
| 1952531956 | Mims Care Home | Clinic/Center | 1589 Mims St Sw, Atlanta, GA 30314-2255 | 2009-07-24 |
| 1114127883 | Stay Well Care Solutions, Inc. | Clinic/Center | 22 Executive Park Drive Ne, Atlanta, GA 30329-2206 | 2007-07-20 |
| 1477191773 | Prudent Senior Services of Georgia | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-12-17 |
| 1609365709 | Fulton County Government | Clinic/Center | 515 John Wesley Dobbs Ave Ne, Atlanta, GA 30312-1329 | 2018-05-03 |
| Find all providers in ATLANTA | ||||
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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.