Summerville At Port Orange, Inc. in Port Orange - Assisted Living Facility
Summerville At Port Orange, Inc. - NPI 1750545158
Summerville At Port Orange, Inc. is a Assisted Living Facility in Port Orange, Florida. Summerville At Port Orange, Inc. practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Summerville At Port Orange, Inc. is 1750545158. The last update date is 2016-05-13.
Summerville At Port Orange, Inc.'s current location address is 1675 Dunlawton Ave, Port Orange, Florida. You can contact this provider via phone number 3867611055 and fax number 3867614408. The mailing address for Summerville At Port Orange, Inc. is 1675 Dunlawton Ave, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summerville At Port Orange, Inc. |
|---|---|
| Address | 1675 Dunlawton Ave, Port Orange, Florida |
| Phone Number | 3867611055 |
| Fax Number | 3867614408 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EVP, CHIEF |
|---|---|
| Authorized Official Name | Richardson Bryan |
| Telephone Number | 6155648131 |
NPI Number Detail
| NPI Number | 1750545158 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2016-05-13 |
Provider Mailing Address Detail
| Address | 1675 Dunlawton Ave |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 321274755 |
| Phone Number | 3867611055 |
| Fax Number | 3867614408 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | AL9792 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0111336-00 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Summerville At Port Orange, Inc. by the Centers for Medicare & Medicaid Services?
The Summerville At Port Orange, Inc. has been assigned the NPI (National Provider Identifier) 1750545158. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Summerville At Port Orange, Inc.'s physical address?
The Summerville At Port Orange, Inc. is physically located at 1675 Dunlawton Ave, in the city of Port Orange, FL, with the postal code 321274755.
What is Summerville At Port Orange, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Summerville At Port Orange, Inc.'s area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.
On what date did the Summerville At Port Orange, Inc. receive its 1750545158 assignment from the Centers for Medicare & Medicaid Services?
The Summerville At Port Orange, Inc. was assigned its 1750545158 by the Centers for Medicare & Medicaid Services on 2008-07-15.
As of what date was the information pertaining to Summerville At Port Orange, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Summerville At Port Orange, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-05-13.