Summit Manor Health & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100003 Issued in KY

Legal business name

SUMMIT MANOR HEALTH & REHABILITATION CENTER, LLC

Doing business as

Summit Manor Health & Rehabilitation Center

Practice address

400 Bomar HTS
Columbia, KY 42728-1511

Phone

(270) 384-2153

Fax

(270) 384-3964

NPI assigned

Oct 17, 2005

Last updated

Sep 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marcella Hodges

Title

Administrator

Phone

(270) 384-2153

Specialties & licenses 1

Addresses

Other names 1

• Summit Manor Health & Rehabilitation Center Doing business as

Tax ID family

LP Columbia Ky LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• LP Columbia Ky, LLC

  dba Signature Healthcare at Summit Manor Rehab & Wellness Center

  • Skilled Nursing Facility
  • Columbia, KY
  • NPI 1255701397
  NPD tax ID

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1861481533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BOMAR HTS",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281511",
            "telephone_number": "270-384-2153",
            "fax_number": "270-384-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOMAR HTS",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281511",
            "telephone_number": "270-384-2153",
            "fax_number": "270-384-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MANOR HEALTH & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "270-384-2153",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Manor Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Tarter Steele, FNP-BC
• Dakota Stotts
• Theresa Faye Stotts
• Matthew Streeval
• Sarah Sullivan
• T J Health Columbia Inc (T J Health Columbia)
• T J Health Columbia Inc
• T J Health Columbia Inc (T J Health Columbia Clinic)
• T J Health Columbia Inc (T J Health Columbia)
• T J Health Columbia Inc (T J Health Columbia)

• Skilled Nursing Facility in Columbia, KY
• Providers in Columbia, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.