Summersliving Systems,Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS250010885 Issued in MI

Legal business name

SUMMERSLIVING SYSTEMS,INC.

Doing business as

Shumpert Home

Practice address

5514 W Vienna Rd
Clio, MI 48420-8273

Phone

(810) 687-0241

Fax

(810) 687-4801

NPI assigned

Jul 7, 2006

Last updated

Sep 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Leola Barbra Summers, SOCIAL WPRKER

Title

Executive Director

Phone

(810) 687-0241

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shumpert Home Doing business as

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1568494581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484200046",
            "telephone_number": "810-687-0241",
            "fax_number": "810-687-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208273",
            "telephone_number": "810-687-0241",
            "fax_number": "810-687-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSLIVING SYSTEMS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "LEOLA",
        "authorized_official_middle_name": "BARBRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-687-0241",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "SOCIAL WPRKER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS250010885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION I.D. NUMBER",
            "identifier": "700752",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shumpert Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Clio, MI
• Providers in Clio, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.