Organization Active NPI

Summit MB LLC

Doing business as Summit Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Rome, GA
National Provider Identifier
1427399419
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUMMIT MB LLC
Doing business as
Summit Health & Rehabilitation Center
Practice address
2 Three Mile Rd NE
Rome, GA 30165-9764
Phone
(706) 236-6002
Fax
(706) 236-6003
NPI assigned
Mar 15, 2013
Last updated
Mar 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Karen D Forrister
Title
Owner
Phone
(706) 236-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X GA Primary

Addresses

Primary practice location

2 Three Mile Rd NE
Rome, GA 30165-9764

Mailing address

2 Three Mile Rd NE
Rome, GA 30165-9764
Phone (706) 236-6002

Other names 1

  • Summit Health & Rehabilitation 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": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1427399419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 THREE MILE RD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301659764",
            "telephone_number": "706-236-6002",
            "fax_number": "706-236-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 THREE MILE RD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301659764",
            "telephone_number": "706-236-6002",
            "fax_number": "706-236-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "FORRISTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-236-6002"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.