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SUMMER HILL
NPI 1689751919
Assisted Living Facility in Oak Harbor, WA

Active since November 01, 2006CLIA 50D2077407 · Waiver
165 SW 6TH AVE, OAK HARBOR, WA 98277(360) 679-1400(360) 675-2205 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summer Hill NPPES

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

SUMMER HILL (NPI 1689751919) is a healthcare organization registered as an assisted living facility in Oak Harbor, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists John B Goodman, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1689751919
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMER HILL ASSISTED LIVING, LLC
Location Address165 SW 6TH AVEOak Harbor, WA 98277-2389
Mailing Address1107 Hazeltine Blvd, Suite 200Chaska, MN 55318-1009 · (952) 361-8000 · Fax (952) 361-8058
Phone(360) 679-1400
Fax(360) 675-2205
Organization SubpartNo
Authorized OfficialJohn B GoodmanChief Manager · (952) 361-8000
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689751919 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 WA · BH1839
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.
165 SW 6TH AVE, Oak Harbor, WA 98277
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Other Names 1

Doing Business AsSummer Hill

Other Identifiers 1

Medicaid705314WA

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 50D2077407

Summer Hill Assisted Living · Oak Harbor, WA
Active · expires Apr 4, 2028
CLIA Number50D2077407
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 6, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDeborah K. Smith
Laboratory Phone(360) 679-1400
Laboratory LocationSummer Hill Assisted Living165 SW 6th Ave, Oak Harbor, WA 98277
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Summer Hill Assisted Living, LLC's NPI number?

The NPI number for Summer Hill Assisted Living, LLC is 1689751919. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Summer Hill.

Where is Summer Hill Assisted Living, LLC located?

Summer Hill Assisted Living, LLC is located at 165 SW 6th Ave, Oak Harbor, WA 98277. The listed phone number is (360) 679-1400.

What is Summer Hill Assisted Living, LLC's specialty?

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

Does Summer Hill Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2077407) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summer Hill Assisted Living, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.