Organization Active NPI

Summit Community Services LLC

Doing business as Summit Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1053032714
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SUMMIT COMMUNITY SERVICES LLC
Doing business as
Summit Health
Practice address
3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928
Phone
(702) 823-3910
Fax
(702) 823-1313
NPI assigned
Sep 9, 2022
Organization subpart
Yes
Parent organization
SUMMIT COMMUNITY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Cynthia Castillo
Title
President
Phone
(702) 821-6494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928

Mailing address

3017 W Charleston Blvd Ste 70
Las Vegas, NV 89102-1928
Phone (702) 823-3910

Other names 1

  • Summit Health Doing business as

National Provider Directory

National Provider Directory
Part of
Summit Community Services LLC

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1053032714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD STE 70",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021928",
            "telephone_number": "702-823-3910",
            "fax_number": "702-823-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD STE 70",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021928",
            "telephone_number": "702-823-3910",
            "fax_number": "702-823-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COMMUNITY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT COMMUNITY SERVICES LLC",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-821-6494"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.