SUMMER STREET COMMUNITY SERVICES, INC
NPI 1962843052
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Adairsville, GA

Q: What is Summer Street Community Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since July 17, 2013

132 SUMMER ST, ADAIRSVILLE, GA 30103(770) 773-1904(770) 773-1904 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Summer Street Community Services, Inc NPPES

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

SUMMER STREET COMMUNITY SERVICES, INC (NPI 1962843052) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Adairsville, Georgia and active in the NPI registry since July 2013. The organization lists Jackie Lynn Shain, Director, as its authorized official.

NPPES Registry Identity

NPI1962843052

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSUMMER STREET COMMUNITY SERVICES, INC

Location Address132 SUMMER STAdairsville, GA 30103-2958

Mailing Address132 Summer StAdairsville, GA 30103-2958 · (770) 773-1904 · Fax (770) 773-1904

Phone(770) 773-1904

Fax(770) 773-1904

Organization SubpartNo

Authorized OfficialJackie Lynn ShainDirector · (503) 949-0531

Enumeration DateJuly 17, 2013

Last NPPES UpdateJune 17, 2014

✔ NPI 1962843052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in GA · CLA001245

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

132 SUMMER ST, Adairsville, GA 30103

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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 Summer Street Community Services, Inc's NPI number?

The NPI number for Summer Street Community Services, Inc is 1962843052. It was assigned to this organization in the NPPES registry on July 17, 2013.

Where is Summer Street Community Services, Inc located?

Summer Street Community Services, Inc is located at 132 Summer St, Adairsville, GA 30103. The listed phone number is (770) 773-1904.

What is Summer Street Community Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Summer Street Community Services, Inc was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.