Organization Active NPI

Summit Hills, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1558691360
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-079-107 Issued in NC
Legal business name
SUMMIT HILLS, LLC
Practice address
7213 Sextons Creek Dr
Raleigh, NC 27614-7198
Phone
(919) 673-6928
NPI assigned
Dec 30, 2009
Last updated
Dec 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Mr. Donald Lewis Hairston
Title
Owner Operator
Phone
(919) 673-6928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-079-107 NC Primary

Addresses

Primary practice location

7213 Sextons Creek Dr
Raleigh, NC 27614-7198

Mailing address

7213 Sextons Creek Dr
Raleigh, NC 27614-7198
Phone (919) 673-6928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1558691360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7213 SEXTONS CREEK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147198",
            "telephone_number": "919-673-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 SEXTONS CREEK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147198",
            "telephone_number": "919-673-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "919-673-6928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-079-107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.