Active NPI
Summersville SNF LLC
Doing business as Summersville Rehab & Nursing Center
- Skilled Nursing Facility
- Summersville, WV
National Provider Identifier
1184545824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SUMMERSVILLE SNF LLC
- Doing business as
- Summersville Rehab & Nursing Center
- Practice address
- 712 Professional Park Dr
Summersville, WV 26651-2000 - Phone
- (304) 872-7600
- NPI assigned
- Jul 21, 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
- Ari Zadeh
- Title
- Authorized Official
- Phone
- (516) 205-5520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
712 Professional Park Dr
Summersville, WV 26651-2000
Mailing address
712 Professional Park Dr
Summersville, WV 26651-2000
Phone (304) 872-7600
Other names 1
- SUMMERSVILLE REHAB & NURSING CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1184545824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 PROFESSIONAL PARK DR",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266512000",
"telephone_number": "304-872-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 PROFESSIONAL PARK DR",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266512000",
"telephone_number": "304-872-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMERSVILLE SNF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "ZADEH",
"authorized_official_first_name": "ARI",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "516-205-5520"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUMMERSVILLE REHAB & NURSING CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Summersville, WV
- Summersville Regional Medical Center
- Summersville Regional Medical Center
- Summersville Regional Medical Center (SMH Pharmacy)
- Summersville Regional Medical Center
- Summersville Skin Care Center Inc
- Summersville Urology Associates, Inc. (David F. Meriwether, MD)
- Vincent Sweeney
- Stacey Michele Sweet, LPN
- Wendy Crystal Talbert
- Beverly Loraine Taylor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.