SUMMIT HILLS, LLC (NPI# 1558691360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558691360 |
| Entity Type | Organization |
| Organization Name | SUMMIT HILLS, LLC |
| Practice Address |
7213 Sextons Creek Dr Raleigh NC 27614-7198 |
| Practice Telephone | 9196736928 |
| Mailing Telephone | 9196736928 |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |
| Authorized Official Name | MR. DONALD LEWIS HAIRSTON (OWNER OPERATOR) |
| Authorized Official Telephone | 9196736928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MHL-079-107 | NC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760515621 | Summit Hills, LLC | Assisted Living Facility | 110 Summit Hills Dr, Spartanburg, SC 29307-1532 | 2007-03-13 |
| 1164731873 | Summit Hills, LLC | Home Health | 110 Summit Hills Dr, Spartanburg, SC 29307-1532 | 2010-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Hills, LLC | 269 Hawthorne Ave, Johnstown, CO 80534 |
| Street Address |
7213 SEXTONS CREEK DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-7198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1366983256 | C Walker Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3925 Falls River Ave, Raleigh, NC 27614-7413 | 2017-03-13 |
| 1427429018 | Falonna Graham | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2224 Valley Edge Dr Unit 102, Raleigh, NC 27614-7363 | 2015-10-08 |
| 1871919548 | Tlc Operations, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1931 Melrose Valley Cir, 1511, Raleigh, NC 27603-6060 | 2014-03-05 |
| 1922430172 | Residential Support Services of Wake County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 408 Hailey Dr, Raleigh, NC 27606-2429 | 2013-07-30 |
| 1396177549 | Residential Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3416 Atlantic Ave, Raleigh, NC 27604-1643 | 2013-07-30 |
| 1598197741 | Residential Support Services of Wake County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 E Millbrook Rd, Raleigh, NC 27609-4473 | 2013-07-30 |
| 1053750828 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6201 Battle Bridge Rd, Raleigh, NC 27610-6201 | 2013-06-14 |
| 1730460452 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3316 Barker Pl, Raleigh, NC 27604-2454 | 2011-09-08 |
| 1356588578 | Enoc Eduardo Madero | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6036 Brambleberry Way, Raleigh, NC 27616-6618 | 2009-01-09 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on SUMMIT HILLS, LLC.
| 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.