Active NPI
Summit Living LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- St Petersburg, FL
National Provider Identifier
1114843679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- SUMMIT LIVING LLC
- Practice address
- 4341 34TH St S Apt 850
St Petersburg, FL 33711-4593 - Phone
- (845) 325-6179
- NPI assigned
- Jun 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas K Paddock
- Title
- Owner
- Phone
- (845) 325-6179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
4341 34TH St S Apt 850
St Petersburg, FL 33711-4593
Mailing address
4341 34TH St S Apt 850
St Petersburg, FL 33711-4593
Phone (845) 325-6179
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782518400000",
"number": "1114843679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 34TH ST S APT 850",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337114593",
"telephone_number": "845-325-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 34TH ST S APT 850",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337114593",
"telephone_number": "845-325-6179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-27",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A",
"authorized_official_last_name": "PADDOCK",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-325-6179"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Matthew Burton Sullivan, MS CCC SLP
- Sumilang Investement Group, LLC (Angel Care Assisted Living Facility)
- Celeste Elaine Summer, OTR
- Summers Anti-Aging Center LLC
- Janice Alexandra Summers, MD
- Summit Path Mental Health Limited Liability Company
- Alexandra Christine Summitt, D.N.P.
- Nancy Virginia Summitt, CRNA
- Richard Ellis Sumner, M.D.
- Sun and Sea Medical PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.