Provider Demographics
NPI:1033585492
Name:SUMMIT SUPPORT SERVICES OF ASHE INC.
Entity Type:Organization
Organization Name:SUMMIT SUPPORT SERVICES OF ASHE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:ROGNSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-846-4491
Mailing Address - Street 1:PO BOX 381
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-0381
Mailing Address - Country:US
Mailing Address - Phone:336-846-4491
Mailing Address - Fax:336-846-4927
Practice Address - Street 1:406 COURT STREET
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640
Practice Address - Country:US
Practice Address - Phone:336-846-3456
Practice Address - Fax:336-846-6457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251C00000X, 251J00000X, 261QD1600X, 333300000X
NCMHL-005-018320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No333300000XSuppliersEmergency Response System Companies