Active NPI
The Inn at Summit Trail
Doing business as Inn at Summit Trail
- Assisted Living Facility
- Reynoldsburg, OH
National Provider Identifier
1699276949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 2777R
- Legal business name
- THE INN AT SUMMIT TRAIL
- Doing business as
- Inn at Summit Trail
- Practice address
- 8115 Summit Rd
Reynoldsburg, OH 43068-1382 - Phone
- (740) 919-4977
- NPI assigned
- Feb 22, 2018
- Last updated
- Feb 22, 2018
- 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
- Tiffany Ori
- Title
- Executive Director
- Phone
- (740) 919-4977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2777R | OH | Primary |
Addresses
Primary practice location
8115 Summit Rd
Reynoldsburg, OH 43068-1382
Mailing address
8115 Summit Rd
Reynoldsburg, OH 43068-1382
Phone (740) 919-4977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2777R | Other | OH | ASSISTED LIVING |
Other names 1
- Inn at Summit Trail
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2132734 | Inn at Summit Trail, the | Certificate of waiver | Jun 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519257600000",
"number": "1699276949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8115 SUMMIT RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681382",
"telephone_number": "740-919-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 SUMMIT RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681382",
"telephone_number": "740-919-4977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE INN AT SUMMIT TRAIL",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A",
"authorized_official_last_name": "ORI",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "740-919-4977"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OH",
"license": "2777R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSISTED LIVING",
"identifier": "2777R",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Inn at Summit Trail",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reynoldsburg, OH
- Tender Nursing Care, Inc.
- Henock W Tequabo
- Melodie Terman, LPC
- Shae Testa, MSN, APRN, FNP-C
- The Central Ohio Health & Wellness Center, Inc.
- The Koko Bella Permanent Makeup and Lash Bar (Koko Bella Diamonds)
- The Kroger Co (Kroger Pharmacy)
- The Kroger Co (Kroger Pharamcy #01600232)
- The Phoenix's Nest Peer Recovery Support Services LLC
- Deanna Theel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.