NPIMap

Organization Active NPI

Summitview Child & Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • El Dorado Hills, CA
National Provider Identifier
1760927776
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
9431886 Issued in CA
Legal business name
SUMMITVIEW CHILD & FAMILY SERVICES, INC.
Practice address
4805 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9651
Phone
(530) 644-2412
Fax
(530) 644-8563
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Courtney Tomblin
Title
Director of Finance
Phone
(530) 485-3374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 9431886 CA Primary

Addresses

Primary practice location

4805 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9651

Mailing address

4805 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9651
Phone (530) 644-2412

Other identifiers 1

IdentifierTypeStateIssuer
0938MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Summitview Child Family Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

4300 Forni Rd
Placerville, CA 95667

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1760927776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629651",
            "telephone_number": "530-644-2412",
            "fax_number": "530-644-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629651",
            "telephone_number": "530-644-2412",
            "fax_number": "530-644-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMITVIEW CHILD & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "TOMBLIN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "530-485-3374"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "9431886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0938",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.