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SUMMIT PLACE OF KINGS MOUNTAIN
NPI 1285912493
Assisted Living Facility in Kings Mountain, NC

Active since July 22, 2011CLIA 34D1008949 · Waiver
1001 PHIFER RD, KINGS MOUNTAIN, NC 28086(704) 739-6772(704) 739-6449 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summit Place Of Kings Mountain NPPES

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

SUMMIT PLACE OF KINGS MOUNTAIN (NPI 1285912493) is a healthcare organization registered as an assisted living facility in Kings Mountain, North Carolina and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Jennifer F Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1285912493
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH SE KINGS MTN TENANT LLC
Location Address1001 PHIFER RDKings Mountain, NC 28086-3748
Mailing Address255 Washington St Ste 300Newton, MA 02458-1634 · (617) 796-8350 · Fax (617) 796-8349
Phone(704) 739-6772
Fax(704) 739-6449
Organization SubpartYes
Authorized OfficialJennifer F MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateJuly 22, 2011
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1285912493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · HAL-023-042
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1001 PHIFER RD, Kings Mountain, NC 28086
Open in Google Maps ↗

Other Names 1

Doing Business AsSummit Place Of Kings Mountain

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1008949

Snh SE Kings Mountain Tenant, LLC Dba Summit Place Of Kings Mountain · Kings Mountain, NC
Active · expires Feb 2, 2027
CLIA Number34D1008949
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorAlain Lilavois
Laboratory Phone(704) 739-6772
Laboratory LocationSnh SE Kings Mountain Tenant, LLC Dba Summit Place Of Kings Mountain1001 Phifer Road, Kings Mountain, NC 28086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARRINGTON ON THE GREEN PROPERTIES, LLC
Assisted Living Facility
1001 PHIFER RD
KINGS MOUNTAIN, NC 28086
Cleveland County (704) 739-6772

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 Snh SE Kings Mtn Tenant LLC's NPI number?

The NPI number for Snh SE Kings Mtn Tenant LLC is 1285912493. It was assigned to this organization in the NPPES registry on July 22, 2011. The provider is doing business as Summit Place Of Kings Mountain.

Where is Snh SE Kings Mtn Tenant LLC located?

Snh SE Kings Mtn Tenant LLC is located at 1001 Phifer Rd, Kings Mountain, NC 28086. The listed phone number is (704) 739-6772.

What is Snh SE Kings Mtn Tenant LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Snh SE Kings Mtn Tenant LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1008949) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Snh SE Kings Mtn Tenant LLC was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.