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SUMMIT SOUTH
NPI 1912258443
Community Based Residential Treatment Facility, Mental Illness in Springfield, OR

Active since September 24, 2012
382 S 58TH ST, SPRINGFIELD, OR 97478(541) 747-4858(541) 747-8314 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit South NPPES

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

SUMMIT SOUTH (NPI 1912258443) is a healthcare organization registered as a community based residential treatment facility, mental illness in Springfield, Oregon and active in the NPI registry since September 2012. The organization lists Nancy J Koll, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912258443
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameELDERHEALTH & LIVING
Location Address382 S 58TH STSpringfield, OR 97478-7623
Mailing Address382 S 58th StSpringfield, OR 97478-7623 · (541) 747-4858 · Fax (541) 747-8314
Phone(541) 747-4858
Fax(541) 747-8314
Organization SubpartNo
Authorized OfficialNancy J KollCfo · (541) 747-4858
Enumeration DateSeptember 24, 2012
✔ NPI 1912258443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in OR · 516389
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
382 S 58TH ST, Springfield, OR 97478
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Other Names 1

Doing Business AsSummit South

Other Identifiers 1

Medicaid516389OR

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 Elderhealth & Living's NPI number?

The NPI number for Elderhealth & Living is 1912258443. It was assigned to this organization in the NPPES registry on September 24, 2012. The provider is doing business as Summit South.

Where is Elderhealth & Living located?

Elderhealth & Living is located at 382 S 58th St, Springfield, OR 97478. The listed phone number is (541) 747-4858.

What is Elderhealth & Living's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Elderhealth & Living was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.