NPIMap

Organization Active NPI

Summer Manor

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1700022241
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL-092-136 Issued in NC
Legal business name
SUMMER MANOR
Practice address
9904 Baileywick Rd
Raleigh, NC 27613-6201
Phone
(919) 851-3715
Fax
(919) 460-9448
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Ms. Phyllis A Helms
Title
Owner
Phone
(919) 524-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL-092-136 NC Primary

Addresses

Primary practice location

9904 Baileywick Rd
Raleigh, NC 27613-6201

Mailing address

PO Box 37730
Raleigh, NC 27627-7730
Phone (919) 851-3715

National Provider Directory

National Provider Directory
Tax ID family
Centennial Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1700022241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37730",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276277730",
            "telephone_number": "919-851-3715",
            "fax_number": "919-460-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 BAILEYWICK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136201",
            "telephone_number": "919-851-3715",
            "fax_number": "919-460-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-524-8260",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-092-136",
            "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 Jan 6, 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.