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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7804403 | 05 |
Street Address |
120 ASHE ST |
City | JEFFERSON |
State | NC |
Zip Code | 28640-9789 |
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 |
Find all providers in zip 28640 |
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 |
---|---|---|---|---|
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 |
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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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.