NPIMap

Organization Active NPI

Summit Health & Rehabilitation, LLC

Doing business as Summit Health & Rehab Center

  • Skilled Nursing Facility
  • Taylor, AR
National Provider Identifier
1386718633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
782 Issued in AR
Legal business name
SUMMIT HEALTH & REHABILITATION, LLC
Doing business as
Summit Health & Rehab Center
Practice address
506 N. Long Ave.
Taylor, AR 71861
Phone
(870) 694-3781
Fax
(870) 694-2084
NPI assigned
Nov 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nina Allen
Title
Director of Business Affairs
Phone
(870) 694-3781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 782 AR Primary

Addresses

Primary practice location

506 N. Long Ave.
Taylor, AR 71861

Mailing address

506 N. Long Ave.
Taylor, AR 71861
Phone (870) 694-3781

Other names 1

  • Summit Health & Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060321000527 AR Part A Provider - Skilled Nursing Facility 4789691437 Practice locations: Taylor, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386718633. Details of each certification follow.

Skilled nursing facility certification: CCN 045411

Legal name
SUMMIT HEALTH & REHABILITATION, LLC
Doing business as
SUMMIT HEALTH & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 11, 2006
Last certification
Oct 24, 2024
Beds
70
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 11, 2005 in AR
Enrollment address
506 North Long Avenue
Taylor, AR 71861-0506
Nursing home name
SUMMIT HEALTH & REHAB CENTER
Affiliated entity
SOUTHERN ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Summit Health & Rehab CenterCCN 045411 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 11, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7051.0 residents per day on average
Chain
Southern Administrative Services35 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0675711Summit Health and Rehabilitation Center506 North Long Avenue, Taylor, AR 71861Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jej Assets LP Organization, Alexandria, LA For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Alexark1 LLC Organization, Shreveport, LA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Jej Management, LLC Organization, Alexandria, LA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Jonathan Goble Individual W-2 Managing EmployeeAdministrator Jan 1, 2022
John F Ponthie Individual 5% Or Greater Indirect Ownership Interest Feb 11, 2005 36.3%
Sharlot Ponthie Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022
Leamon G Torrence Individual 5% Or Greater Direct Ownership Interest Feb 11, 2005 13.33%
4P2T1 Ops Holding LP Organization, Houston, TX 5% Or Greater Direct Ownership Interest Jan 3, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386718633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N. LONG AVE.",
            "city": "TAYLOR",
            "state": "AR",
            "postal_code": "71861",
            "telephone_number": "870-694-3781",
            "fax_number": "870-694-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N. LONG AVE.",
            "city": "TAYLOR",
            "state": "AR",
            "postal_code": "71861",
            "telephone_number": "870-694-3781",
            "fax_number": "870-694-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS AFFAIRS",
        "authorized_official_telephone_number": "870-694-3781"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, AR

Sources for this page

Verify at the official NPI Registry.