NPIMap

Organization Active NPI

Summitview Child & Family Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • El Dorado Hills, CA
National Provider Identifier
1912397126
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
097005505 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
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 & Operations
Phone
(530) 485-3374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 097005505 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
097005505OtherCAMEDI-CAL

Other names 1

  • Summitview Child & Family Services, Inc. Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1912397126",
    "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": "2015-01-26",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "TOMBLIN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & OPERATIONS",
        "authorized_official_telephone_number": "530-485-3374"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "097005505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "097005505",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summitview Child & Family Services, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 30, 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.