Organization Active NPI

Summit LTC San Antonio, LLC

Doing business as Sunrise Nursing & Rehab Center

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1679091508
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUMMIT LTC SAN ANTONIO, LLC
Doing business as
Sunrise Nursing & Rehab Center
Practice address
50 Briggs St
San Antonio, TX 78224-1267
Phone
(210) 921-0184
NPI assigned
Aug 30, 2017
Last updated
Aug 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Mr. Christopher Michael Slimmer
Title
President
Phone
(817) 681-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

50 Briggs St
San Antonio, TX 78224-1267

Mailing address

6050 Southwest Blvd Ste 150
Benbrook, TX 76109-4004
Phone (817) 681-4811

Other names 1

  • Sunrise Nursing & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026002541 TX Part A Provider - Skilled Nursing Facility 0345516951 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679091508. Details of each certification follow.

Skilled nursing facility certification: CCN 455713

Legal name
SUMMIT LTC SAN ANTONIO LLC
Doing business as
SUNRISE NURSING & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 4, 1987
Last certification
Jul 26, 2024
Beds
119
Ownership / control type
Corporation
Multi-facility organization
Aspire Health Group
Organization structure
LLCProprietary
Incorporated
Aug 17, 2017 in TX
Enrollment address
50 Briggs St
San Antonio, TX 78224-1267

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avir at San AntonioCCN 455713 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 4, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11994.8 residents per day on average
Penalties (3 years)
3Fines totaling $29,494

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Dina Rayford Individual Adp of the SNF Feb 25, 2024
Summit LTC San Antonio LLC Organization, Fort Worth, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 17, 2017 100%
Summit LTC Holdco LLC Organization, Fort Worth, TX LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 18, 2018 100%
Justin B Johnson Individual 5% Or Greater Indirect Ownership InterestCoo Oct 1, 2017 49%
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017
Gabriela Simon Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Ravikanth Reddy R Yalamuri Individual Adp of the SNF Feb 15, 2025
Summit LTC Management LLC Organization, Fort Worth, TX LLC, Management services company Operational/Managerial Control Oct 1, 2017 100%
Adp of the SNF Oct 1, 2017
Christopher M Slimmer Individual 5% Or Greater Indirect Ownership InterestPresident Oct 1, 2017 51%
Operational/Managerial Control Oct 1, 2017
Adp of the SNF Oct 1, 2017
Sunrise Realty Ventures LLC Organization, Lincolnwood, IL LLC Adp of the SNF May 10, 2018

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 2

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

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 3

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": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1679091508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 SOUTHWEST BLVD STE 150",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094004",
            "telephone_number": "817-681-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BRIGGS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241267",
            "telephone_number": "210-921-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT LTC SAN ANTONIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "SLIMMER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-681-4811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.