SUMMERFIELD PERSONAL CARE HOME LLC
NPI 1083469092
Custodial Care Facility - Adult Care Home in Covington, GA

Q: What is Summerfield Personal Care Home LLC's NPI number?

The NPI number for Summerfield Personal Care Home LLC is 1083469092. It was assigned to this organization in the NPPES registry on April 22, 2024.

Q: What is Summerfield Personal Care Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since April 22, 2024

12166 HIGHWAY 212, COVINGTON, GA 30014(678) 600-6704(404) 745-8410 Get Directions Write a Review

NPPES record last updated: August 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2024, Apr 22, 2024 (2 updates tracked since 2024).

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About Summerfield Personal Care Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMERFIELD PERSONAL CARE HOME LLC (NPI 1083469092) is a healthcare organization registered as an adult care home in Covington, Georgia and active in the NPI registry since April 2024. The organization lists Brenda Snow Jacobs, Administrator/provider, as its authorized official.

NPPES Registry Identity

NPI1083469092

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSUMMERFIELD PERSONAL CARE HOME LLC

Location Address12166 HIGHWAY 212Covington, GA 30014-7876

Mailing Address12166 Highway 212Covington, GA 30014-7876 · (678) 600-6704 · Fax (404) 745-8410

Phone(678) 600-6704

Fax(404) 745-8410

Organization SubpartNo

Authorized OfficialBrenda Snow JacobsAdministrator/provider · (678) 600-6704

Enumeration DateApril 22, 2024

Last NPPES UpdateAugust 4, 20242 updates tracked since enumeration

NPPES CertifiedAugust 4, 2024

✔ NPI 1083469092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

12166 HIGHWAY 212, Covington, GA 30014

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summerfield Personal Care Home LLC's NPI number?

The NPI number for Summerfield Personal Care Home LLC is 1083469092. It was assigned to this organization in the NPPES registry on April 22, 2024.

Where is Summerfield Personal Care Home LLC located?

Summerfield Personal Care Home LLC is located at 12166 Highway 212, Covington, GA 30014. The listed phone number is (678) 600-6704.

What is Summerfield Personal Care Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Summerfield Personal Care Home LLC was last updated on August 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.