Summerplace Community Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUMMERPLACE COMMUNITY HEALTHCARE LLC

Doing business as

Summerplace Assisted Living

Practice address

15727 NE Russell St
Portland, OR 97230-8222

Phone

(503) 252-9361

NPI assigned

May 27, 2024

Last updated

May 27, 2024By 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

John Mitchell

Title

Secretary

Phone

(801) 447-9829

Specialties & licenses 2

Addresses

Other names 1

• Summerplace Assisted Living Doing business as

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1932949187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15727 NE RUSSELL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972308222",
            "telephone_number": "503-252-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERPLACE COMMUNITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerplace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lily Barbara Summer, PA-C
• Andrew Lee Summerer, PSYD
• Whitney Summerer, LPC ASSOCIATE
• Maxwell Lee Summerlin
• Summerplace Assisted Living LLC (Summerplace Assisted Living Community)
• Summers Point Therapy LLC
• Caren Elizabeth Summers-Nomura, MS
• Aaron Beaugh Summers, DNP-FNP
• Allison Irene Summers, OD
• Andrew Summers

• Assisted Living Facility in Portland, OR
• Providers in Portland, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.