Summit Skilled Nursing LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUMMIT SKILLED NURSING LLC

Practice address

107 Monticello Ave
Springfield, MA 01109-1413

Phone

(860) 994-9448

NPI assigned

Oct 3, 2025

Organization subpart

No

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

Authorized official

Name

Khadene Harry Stoby

Title

Owner/ President

Phone

(860) 994-9448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1740154582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MONTICELLO AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011091413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MONTICELLO AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011091413",
            "telephone_number": "860-994-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SKILLED NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "HARRY STOBY",
        "authorized_official_first_name": "KHADENE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "860-994-9448"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Sullivan, LICSW
• Michele Sullivan, RN
• Mollie Moriarty Sullivan, M.ED, LMHC
• Piyali Summer, RN
• Tiffany Summers
• Sumner Eyecare, LLC
• Sumner Pediatrics PC
• Hilma A Sumner
• Nicola T. Sumorok, M.D.
• Padmaja Sundaram, MD

• Home Health Agency in Springfield, MA
• Providers in Springfield, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.