Active NPI
Summitcare Health Services, LLC
- Community/Behavioral Health Agency
- Wilson, NC
National Provider Identifier
1477807022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SUMMITCARE HEALTH SERVICES, LLC
- Practice address
- 1800 Rand Rd W
Wilson, NC 27893-3447 - Phone
- (252) 265-6153
- NPI assigned
- Nov 5, 2012
- Last updated
- Nov 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carmen Angela Borunda
- Title
- Ceo
- Phone
- (252) 265-6153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1800 Rand Rd W
Wilson, NC 27893-3447
Mailing address
1800 Rand Rd W
Wilson, NC 27893-3447
National Provider Directory
National Provider DirectoryLocations
806 Tarboro St W
Ste C14
Wilson, NC 27893
Phone (252) 281-4103
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352073600000",
"number": "1477807022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 RAND RD W",
"city": "WILSON",
"state": "NC",
"postal_code": "278933447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 RAND RD W",
"city": "WILSON",
"state": "NC",
"postal_code": "278933447",
"telephone_number": "252-265-6153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMITCARE HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A",
"authorized_official_last_name": "BORUNDA",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "ANGELA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-265-6153",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.