Summit Support Services of Ashe, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL-005-019 Issued in NC

Legal business name

SUMMIT SUPPORT SERVICES OF ASHE, INC.

Practice address

120 Ashe St
Jefferson, NC 28640-9789

Phone

(336) 846-4491

Fax

(336) 846-4927

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Shari Anderson Rognstad

Title

Executive Director

Phone

(336) 846-4491

Specialties & licenses 8

Addresses

Other identifiers 1

Tax ID family

Summit Support Services of Ashe Inc4 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.

• Summit Support Services of Ashe Inc.

  • Developmental Disabilities Clinic/Center
  • Jefferson, NC
  • NPI 1033585492
  NPD tax ID
• Summit Support Services of Ashe Inc.

  • Adult Care Home Facility
  • Jefferson, NC
  • NPI 1841303328
  NPD tax ID
• Summit Support Services of Ashe, Inc

  • Developmental Disabilities Clinic/Center
  • Jefferson, NC
  • NPI 1922283340
  NPD tax ID

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1740465160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400381",
            "telephone_number": "336-846-4491",
            "fax_number": "336-846-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ASHE ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409789",
            "telephone_number": "336-846-4491",
            "fax_number": "336-846-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SUPPORT SERVICES OF ASHE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "ROGNSTAD",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-846-4491"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-005-019",
            "primary": true
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804403",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Dawn Greene Stroud, DMD
• Beverly Sturgill
• Summit Support Services of Ashe Inc.
• Summit Support Services of Ashe Inc.
• Summit Support Services of Ashe, Inc
• John Alvar Sundin, M.D.
• Katherine Elizabeth Talwar, PA-C
• Allie B Taylor, PA-C
• Shelton W. Thomason Jr., R. PH.
• Tammy L Thore, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.