Organization Active NPI

Summit Support Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Concord, NH
National Provider Identifier
1013820232
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SUMMIT SUPPORT SERVICES LLC
Practice address
58 Bracnh Tpke
#60
Concord, NH 03301
Phone
(207) 630-5305
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Sebineza Jr.
Title
Managing Member
Phone
(207) 630-5305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

58 Bracnh Tpke
#60
Concord, NH 03301

Mailing address

58 Bracnh Tpke
#60
Concord, NH 03301
Phone (207) 630-5305

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1013820232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BRACNH TPKE",
            "address_2": "#60",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "207-630-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BRACNH TPKE",
            "address_2": "#60",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "207-630-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "SEBINEZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-630-5305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.