Organization Active NPI

Summit Support Services of Ashe Inc.

  • Adult Care Home Facility
  • Jefferson, NC
National Provider Identifier
1841303328
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SUMMIT SUPPORT SERVICES OF ASHE INC.
Practice address
406 Court Street
Jefferson, NC 28640-0381
Phone
(336) 846-3456
Fax
(336) 846-4927
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Mrs. Shari A Rognstad, QP
Title
Executive Director
Phone
(336) 846-4491

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X
Adult Care Home Facility 311ZA0620X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL005019 NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL005020 NC
Emergency Response System Companies 333300000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

406 Court Street
Jefferson, NC 28640-0381

Mailing address

PO Box 381
Jefferson, NC 28640-0381
Phone (336) 846-4491

Other practice location 1

342 Long Street
Jefferson, NC 28640-9505
Phone (336) 846-4491

Other practice location 2

120 Ashe Street
Jefferson, NC 28640-9657
Phone (336) 846-4491

Other practice location 3

514 McConnell St
Jefferson, NC 28640-9789
Phone (336) 846-4491

National Provider Directory

National Provider Directory
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.

Locations

514 McConnell St
Jefferson, NC 28640
Phone (336) 846-4491

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1841303328",
    "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": "406 COURT STREET",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400381",
            "telephone_number": "336-846-3456",
            "fax_number": "336-846-4927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 Long Street",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "NC",
            "postal_code": "286409505",
            "country_code": "US",
            "telephone_number": "336-846-4491",
            "fax_number": "336-846-4927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Ashe Street",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "NC",
            "postal_code": "286409657",
            "country_code": "US",
            "telephone_number": "336-846-4491",
            "fax_number": "336-846-4927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 McConnell St",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "NC",
            "postal_code": "286409789",
            "country_code": "US",
            "telephone_number": "336-846-4491",
            "fax_number": "336-846-4927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT SUPPORT SERVICES OF ASHE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "ROGNSTAD",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-846-4491",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QP"
    },
    "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": "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": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL005019",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL005020",
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.