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NPI Code Detail

MEDICARE: SUMMITVIEW CHILD & FAMILY SERVICES, INC.

MEDICARE: SUMMITVIEW CHILD & FAMILY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility9431886CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760927776
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMITVIEW CHILD & FAMILY SERVICES, INC.
Provider Business Mailing Address
First Line : 4805 GOLDEN FOOTHILL PKWY
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-9651
Country : US
Telephone Number : 530-644-2412
Fax Number : 530-644-8563
Provider Business Practice Location Address
First Line : 4805 GOLDEN FOOTHILL PKWY
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-9651
Country : US
Telephone Number : 530-644-2412
Fax Number : 530-644-8563
Authorized Official
Title or Position : DIRECTOR OF FINANCE
Name : COURTNEY TOMBLIN
Credential :
Telephone Number : 530-485-3374
Provider Enumeration Date : 12/29/2016
Last Update Date : 08/19/2024

Similar Medicare Providers

1902950751 — SUMMITVIEW CHILD & FAMILY SERVICES, INC.
Practice Location Address:
4805 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
95762-9651
Practice Phone: 530-644-2412
Practice Fax: 530-644-8563
1972798221 — MRS. ELISSA JOY RHODEA MA
Practice Location Address:
4805 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
95762-9651
Practice Phone: 530-869-1277
Practice Fax:
1699108712 — SHANNON ROCHELLE COTTIER B.A.
Practice Location Address:
4805 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
95762-9651
Practice Phone: 530-644-2412
Practice Fax: 530-644-0927
1912397126 — SUMMITVIEW CHILD & FAMILY SERVICES, INC.
Practice Location Address:
4805 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
95762-9651
Practice Phone: 530-644-2412
Practice Fax: 530-644-8563
1912366485 — ELISSA REFSDAL LCSW, CADC-II
Practice Location Address:
4805 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
95762-9651
Practice Phone: 530-644-2412
Practice Fax:
1902252851 — LAURA KIM LESLIE B.A.
Practice Location Address:
4805 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
95762-9651
Practice Phone: 530-644-2412
Practice Fax: 530-644-8563

Directions to “SUMMITVIEW CHILD & FAMILY SERVICES, INC. ” Practice Location

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