LAURISSA SUMMERLIN CDCA
NPI 1144865627
Substance Abuse Rehabilitation Facility in Warren, OH

NPI Status: Active since November 08, 2019

Contact Information

4930 ENTERPRISE DR NW
WARREN, OH
ZIP 44481
Phone: (330) 787-0955

Get Directions Reviews

  • Individual
  • Female
  • Substance Abuse Rehabilitation Facility

About LAURISSA SUMMERLIN

This page provides the complete NPI Profile along with additional information for Laurissa Summerlin, a provider established in Warren, Ohio with a medical specialization in Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1144865627 assigned on November 2019. The practitioner's primary taxonomy code is 324500000X with license number 171941 (OH). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1144865627
Provider Name
LAURISSA SUMMERLIN CDCA
Gender
Female
Entity Type
Individual
Location Address
4930 ENTERPRISE DR NW WARREN, OH 44481
Location Phone
(330) 787-0955
Mailing Address
4930 ENTERPRISE DR NW WARREN, OH 44481
Mailing Phone
(330) 787-0955
Is Sole Proprietor?
Yes
Enumeration Date
11-08-2019
Last Update Date
11-08-2019
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
171941
License State
OH
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Reviews for LAURISSA SUMMERLIN CDCA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144865627
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841661064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 6 + 6 + 1 + 0 + 6 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1144865627 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487168084FSR OF PARKMAN LLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 714-0938
1902347602 SHERRY JONES LPN
Individual
Licensed Practical Nurse4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1275041279 KAREN HAUSEN LPN
Individual
Licensed Practical Nurse4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1932617941 LAURA CUMMINS LPN
Individual
Licensed Practical Nurse4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1225546054 DANIEL PEW CDCA
Individual
Substance Abuse Rehabilitation Facility4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1386152114 ADAM YOUNG CDCA
Individual
Substance Abuse Rehabilitation Facility4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1003324831 CRYSTAL GRIFFIN LPN
Individual
Licensed Practical Nurse4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1538667845 CRYSTAL ROSE WARNER LPN
Individual
Licensed Practical Nurse4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1669972915 JAMES CAMPBELL, JR CDCA
Individual
Substance Abuse Rehabilitation Facility4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1679077846 DIANA PUZ RN
Individual
Registered Nurse4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1750887246 PHILIP LYDICK CDCA
Individual
Substance Abuse Rehabilitation Facility4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1528576071MISS TINA MARIE MOORE LPN
Individual
Licensed Practical Nurse4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1396231544 TIMITHY DEMICH CDCA
Individual
Substance Abuse Rehabilitation Facility4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1508345117 HELEN SAMS LSW
Individual
Social Worker4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1982175899 COLE KURTZ CDCA
Individual
Substance Abuse Rehabilitation Facility4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1942772165 CHARLES TREHARNE CDCA
Individual
Substance Abuse Rehabilitation Facility4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1386896629 ALLISON RACHEL KIDD LISW-S
Individual
Social Worker (Clinical)4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1003380072 CHARITEY RIGGS CDCA
Individual
Substance Abuse Rehabilitation Facility4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955
1598766859 JOSEPH LYDON JR. M.D.
Individual
Anesthesiology (Addiction Medicine)4930 ENTERPRISE DR NW
WARREN, OH 44481
(330) 787-0955

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144865627, enumerated in the NPI registry as an "individual" on November 08, 2019

The provider is located at 4930 Enterprise Dr Nw Warren, Oh 44481 and the phone number is (330) 787-0955

The provider's speciality is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on November 08, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.