Organization Active NPI

Summitcare Health Services, LLC

  • Community/Behavioral Health Agency
  • Wilson, NC
National Provider Identifier
1477807022
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.