Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Summit Place of South Park

Organization Assisted Living Facility · NPI 1578794566

Summit Place of South Park is an Assisted Living Facility in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009

Practice location Address checks out

2101 Runnymede Ln
Charlotte, NC 28209-3316 Not confirmed with CMS for 17 years — call before visiting
Phone: (704) 525-5508
Fax: (704) 525-2672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence HAL-060-096 (NC)

Record details

NPI number1578794566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristi Anthony — Regional Vp Of Operations · (704) 689-1406
NPI enumeratedAugust 7, 2009
Last updated in NPPESAugust 7, 2009
Mailing address2101 Runnymede Ln, Charlotte, NC 28209-3316

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