NPIMap

Organization Active NPI

The Laurels of Summit Inn, Inc

Doing business as The Laurels of Summit Ridge

  • Nursing Facility/Intermediate Care Facility
  • Asheville, NC
National Provider Identifier
1467407775
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0540 Issued in NC
Legal business name
THE LAURELS OF SUMMIT INN, INC
Doing business as
The Laurels of Summit Ridge
Practice address
100 Riceville Rd
Asheville, NC 28805-2122
Phone
(828) 299-1110
Fax
(828) 299-4077
NPI assigned
May 24, 2006
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Mr. Anis Khan
Title
Cfo
Phone
(614) 794-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0540 NC Primary
Skilled Nursing Facility 314000000X NH0540 NC

Addresses

Primary practice location

100 Riceville Rd
Asheville, NC 28805-2122

Mailing address

8181 Worthington Rd
Westerville, OH 43082-8067
Phone (614) 794-8800

Other identifiers 4

IdentifierTypeStateIssuer
3425438MedicaidNC
0094XOtherNCBLUE CROSS BLUE SHIELD #
342604YMedicaidNC
NH0540OtherNCNURSING HOME LICENSE #

Other names 1

  • THE LAURELS OF SUMMIT RIDGE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030717000008 NC Part A Provider - Skilled Nursing Facility 2365353208 Practice locations: Asheville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467407775. Details of each certification follow.

Skilled nursing facility certification: CCN 345438

Legal name
THE LAURELS OF SUMMIT INN, INC
Doing business as
THE LAURELS OF SUMMIT RIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 23, 1993
Last certification
May 15, 2025
Beds
91 (68 certified)
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare
Organization structure
CorporationProprietary
Incorporated
Dec 26, 2000 in MI
Enrollment address
100 Riceville Road
Asheville, NC 28805-2122

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Laurels of Summit RidgeCCN 345438 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 23, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6861.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Laurels of Summit Ridge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
David Stobb Individual Corporate OfficerSecretary Feb 1, 2016 100%
Adp of the SNF Feb 1, 2016
Anis Khan Individual Corporate OfficerTreasurer Feb 1, 2016
Operational/Managerial Control Feb 1, 2016
Adp of the SNF Feb 1, 2016
Laurel Acquisition Holding Corporation Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2016 100%
Corporate OfficerPresident Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016
Adp of the SNF Feb 1, 2016
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Adp of the SNF Feb 1, 2016
Laurel Health Care Company Organization, Westerville, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Feb 1, 2016 100%
Adp of the SNF Mar 31, 2025
Summit Ridge Senior Leasing, LLC Organization, Westerville, OH LLC, For-profit Adp of the SNF Feb 1, 2016
Laurel Health Care Holdings, Inc. Organization, Westerville, OH Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Aaron Gurney Individual Operational/Managerial Control Mar 30, 2023
Adp of the SNF Mar 30, 2023
Mark Andrew Radigan Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 31, 2025
Organization, Glenview, IL LLC, For-profit Adp of the SNF Mar 31, 2025

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 67

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

View all 67

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1467407775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 WORTHINGTON RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828067",
            "telephone_number": "614-794-8800",
            "fax_number": "614-794-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICEVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052122",
            "telephone_number": "828-299-1110",
            "fax_number": "828-299-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAURELS OF SUMMIT INN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-794-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0540",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425438",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "0094X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342604Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING HOME LICENSE #",
            "identifier": "NH0540",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAURELS OF SUMMIT RIDGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.