Organization Active NPI

Summersville SNF LLC

Doing business as Summersville Rehab & Nursing Center

  • Skilled Nursing Facility
  • Summersville, WV
National Provider Identifier
1184545824
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jul 21, 2026

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)CodeLicenseStatePrimary
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 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": "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

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.

Verify at the official NPI Registry.