SUMMIT SUPPORT SERVICES OF ASHE, INC.


Address: 120 Ashe St, Jefferson, NC 28640-9789
Phone: 3368464491

SUMMIT SUPPORT SERVICES OF ASHE, INC. (NPI# 1740465160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740465160
Entity Type Organization
Organization Name SUMMIT SUPPORT SERVICES OF ASHE, INC.
Practice Address 120 Ashe St
Jefferson
NC 28640-9789
Mailing Address Po Box 381
Jefferson
NC 28640-0381
Practice Telephone 3368464491
Practice Fax Number 3368464927
Mailing Telephone 3368464491
Mailing Fax Number 3368464927
Enumeration Date 2008-01-03
Last Update Date 2017-11-20
Authorized Official Name SHARI ANDERSON ROGNSTAD (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3368464491
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 251J00000X Nursing Care Agencies
N 253Z00000X In Home Supportive Care Agencies
N 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities
N 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities
N 333300000X Emergency Response System Companies Suppliers
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities MHL-005-01 NC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 7804403 05

Office Location

Street Address 120 ASHE ST
City JEFFERSON
State NC
Zip Code 28640-9789

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851917710 Lux Psychiatry, Pllc Psychiatry & Neurology 101 Colvard Street, Jefferson, NC 28640 2020-06-17
1902466543 Emily Claire Wilson Physical Therapist 419 East Main Street Unit 4, Jefferson, NC 28640 2019-06-17
1457824393 Miranda Lyalls Jordan Nurse Practitioner 310 Hospital Ave, Jefferson, NC 28640 2019-01-03
1659859247 Molly Reynolds Physical Therapist 419 E. Main St. Unit 4, Jefferson, NC 28640 2018-08-06
1548644040 Amanda Stroud Dentist 225 Court Street, Jefferson, NC 28640 2015-07-14
1710388772 Schuster Physical Therapy Inc. Clinic/Center 419 E. Main St., Jefferson, NC 28640 2014-09-09
1437589199 Rebecca Scoggin Clark Nurse Practitioner 413 Mcconnell Street, Jefferson, NC 28640 2013-11-16
1093029498 Robin Arlene Edwards Nurse Practitioner 151 Medical Park Dr., Jefferson, NC 28640 2010-07-28
1659516979 Patricia Ann Franklin Physical Therapist 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 2008-12-16
1730363342 Ashe County Public Schools Local Education Agency (LEA) 320 South Street, Jefferson, NC 28640 2007-12-19
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023558012 Tiffany Norton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 518 N Clary Rd, Jefferson, ME 04348-4067 2017-02-24
1841431210 The Magnolia School, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Central Ave, Jefferson, LA 70121-3402 2009-03-16
1770759532 The Magnolia School, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Central Ave, Jefferson, LA 70121-3402 2008-05-01
1295911360 The Magnolia School, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Central Ave, Jefferson, LA 70121-3402 2008-01-18
1104002278 The Magnolia School, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Central Ave, Jefferson, LA 70121-3402 2008-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306455126 A Place 4 Me, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 2020-07-28
1922623792 Our Home At Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 2020-06-08
1922634484 Tracey Holton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 2020-03-17
1710443395 Unity 4 Us Community Outreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 406 Lincoln St, Belmont, NC 28012-3045 2019-02-19
1871059444 Believing Everyone Succeeds Together Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 323 Shady Grove Rd, Kings Mtn, NC 28086-9671 2019-02-19
1740744283 Tri Plex Industries Corp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 2019-01-29
1316415037 Igr Collaborations Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 212 Pine Ridge Dr, Roanoke Rapids, NC 27870-6832 2018-11-12
1164924940 David Douglas Whitfield Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5342 Us Highway 301 North, Micro, NC 27555 2018-03-07
1710489976 Moravian Enterprises, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 122 North Elm St., Suite 810, Greensboro, NC 27401 2018-03-05
1659897833 Shelby Day Program Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 621 S Dekalb St Ste A, Shelby, NC 28150-6189 2017-08-18
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Competitor

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City JEFFERSON
Zip Code 28640

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Dataset Information

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.

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