Summer Street Community Services, Inc
NPI 1962843052 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Adairsville, GA
Summer Street Community Services, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Adairsville, GA (NPI 1962843052).
Provider details
- NPI number
- 1962843052
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jackie Shain, Director(503) 949-0531
- License
- CLA001245 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense CLA001245 (GA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-17
- Last updated
- 2014-06-17
Frequently asked questions
- What is Summer Street Community Services, Inc's NPI number?
- Summer Street Community Services, Inc's National Provider Identifier (NPI) is 1962843052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summer Street Community Services, Inc?
- Summer Street Community Services, Inc is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Summer Street Community Services, Inc located?
- Summer Street Community Services, Inc's practice location on file with NPPES is 132 Summer St, Adairsville, GA 30103-2958.
- What is Summer Street Community Services, Inc's phone number?
- The practice phone number listed in the NPPES registry for Summer Street Community Services, Inc is (770) 773-1904.
- Who is the authorized official for Summer Street Community Services, Inc?
- The authorized official listed on Summer Street Community Services, Inc's NPPES record is Jackie Shain, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summer Street Community Services, Inc's NPI active?
- Yes — Summer Street Community Services, Inc's NPI (1962843052) is active in the NPPES registry as of the last update on 2014-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.