Organization Active NPI

Summit Hills, LLC

Doing business as Live Long WellCare

  • Home Health Agency
  • Spartanburg, SC
National Provider Identifier
1164731873
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA-0205 Issued in SC
Legal business name
SUMMIT HILLS, LLC
Doing business as
Live Long WellCare
Practice address
110 Summit Hills Dr
Spartanburg, SC 29307-1532
Phone
(864) 591-2222
Fax
(866) 511-3988
NPI assigned
Sep 29, 2010
Last updated
Sep 29, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SENIOR LIVING COMMUNITIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Mr. Donald O Thompson Jr.
Title
Manager
Phone
(704) 246-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA-0205 SC Primary

Addresses

Primary practice location

110 Summit Hills Dr
Spartanburg, SC 29307-1532

Mailing address

110 Summit Hills Dr
Spartanburg, SC 29307-1532
Phone (864) 591-2222

Other names 1

  • Live Long WellCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1164731873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SUMMIT HILLS DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071532",
            "telephone_number": "864-591-2222",
            "fax_number": "866-511-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SUMMIT HILLS DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071532",
            "telephone_number": "864-591-2222",
            "fax_number": "866-511-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HILLS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR LIVING COMMUNITIES, LLC",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-246-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-0205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Long WellCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.