SUMMIT ESTATE INC (NPI# 1679857775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679857775 |
| Entity Type | Organization |
| Organization Name | SUMMIT ESTATE INC |
| Other Organization Name | SUMMIT ESTATE RECOVERY CENTER |
| Practice Address |
399 Old Mill Pond Rd Los Gatos CA 95033-8561 |
| Practice Telephone | 4083535352 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | PAUL PONOMARENKO (PRESIDENT) |
| Authorized Official Telephone | 8007016997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 440017AP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Summit Estate Recovery Center | Doing Business As Name - Organization |
| Street Address |
399 OLD MILL POND RD |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95033-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760719868 | Cordova Chiroprati Centre | Chiropractor | 9053 Soquel Dr., Suite 202, Aptos, CA 95033-4034 | 2009-11-10 |
| 1386773166 | Brent Carl Lay | Dentist | 24900 Highland Way, Los Gatos, CA 95033-8002 | 2007-03-05 |
| 1457670895 | Yeelan Chen Johnson | Physician Assistant | 60 Old Orchard Rd, Los Gatos, CA 95033-8028 | 2010-05-25 |
| 1346483088 | Shannon Rae Moynahan | Occupational Therapist | 28801 Loma Chiquita Rd, Los Gatos, CA 95033-8070 | 2009-04-10 |
| 1063887933 | Lisa Knowles | Behavioral Analyst | 24879 Skyland Rd, Los Gatos, CA 95033-8161 | 2015-12-03 |
| 1366874802 | Ryan Roberts | Psychologist | 15340 Upper Ellen Rd, Los Gatos, CA 95033-8283 | 2013-08-07 |
| 1083071377 | Jayme Danielle Vermilion | Dietitian, Registered | 17030 Melody Ln, Los Gatos, CA 95033-8406 | 2016-01-18 |
| 1437695244 | Caren Hespeler | Doula | 24754 Hutchinson Rd, Los Gatos, CA 95033-8546 | 2017-01-17 |
| 1114311263 | Marcia Sivek | Nutritionist | 24375 Glenwood Dr, Los Gatos, CA 95033-8591 | 2015-03-26 |
| 1326046921 | Michael Brodin | Dermatology | 16400 Soda Springs Rd, Los Gatos, CA 95033-8621 | 2005-07-08 |
| Find all providers in zip 95033 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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|---|---|---|---|---|
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| 1457893596 | Los Gatos Medical Center | Substance Abuse Rehabilitation Facility | 16400 Lark Ave, Ste 100, Los Gatos, CA 95032-2547 | 2016-11-07 |
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| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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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.