Summit Ri SNF, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00754 Issued in RI

Legal business name

SUMMIT RI SNF, LLC

Doing business as

Summit Commons Rehabilitation & Health Care Center

Practice address

99 Hillside Ave
Providence, RI 02906-2943

Phone

(401) 278-4934

Fax

(401) 278-4937

NPI assigned

Feb 11, 2008

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ATHENA HEALTH CARE SYSTEMS RI LLCAs reported in NPPES

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

Authorized official

Name

Lawrence G. Santilli

Title

Manager

Phone

(860) 751-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summit Commons Rehabilitation & Health Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1184892374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062943",
            "telephone_number": "401-574-4800",
            "fax_number": "401-278-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062943",
            "telephone_number": "401-278-4934",
            "fax_number": "401-278-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RI SNF, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE SYSTEMS RI LLC",
        "enumeration_date": "2008-02-11",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SU85797",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Commons Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Commons Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya Christine Sullivan, APRN, MSN, CNP
• Vrishali Suman, MD
• Dale Sumilang
• Jack Rocco Summa, PHARMD, RPH
• Summit Medical Group
• Felicia Wang Sun, MD, MPHIL
• Kevin Sun, MD
• Tianying Sun
• Nisha Sundararaj, LMHC
• Jennifer R. Sunderland, CNM

• Skilled Nursing Facility in Providence, RI
• Providers in Providence, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.