Summerville at Venice, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5534 Issued in FL

Legal business name

SUMMERVILLE AT VENICE, LLC

Practice address

200 Nassau St N
Venice, FL 34285-1772

Phone

(941) 485-2404

Fax

(941) 488-3602

NPI assigned

May 22, 2007

Organization subpart

Yes

Parent organization

SUMMERVILLE SENIOR LIVING, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Noelle Diaz Bickel

Title

Licensing Specialist

Phone

(206) 298-2909

Specialties & licenses 1

Addresses

Other names 1

• Emeritus at Venice Doing business as

Part of

Summerville at St Augustine LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Summerville Senior Living LLC

  • Assisted Living Facility
  • Oviedo, FL
  • NPI 1174733653
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1043429491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NASSAU ST N",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851772",
            "telephone_number": "941-485-2404",
            "fax_number": "941-488-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE AT VENICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERVILLE SENIOR LIVING, INC.",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Venice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley N Stuart, PHARMD
• Elliott Stupp, O.D.
• Jay Stutz
• Jade Suggs
• Charles A Suleskey, DPM
• Sun Medical Supply, Inc.
• Suncoast Eyehealth P.a.
• Suncoast Oral Surgery & Periodontics
• Suncoast Orthopaedic Surgery & Sports Medicine, P.a.
• Suncoast Orthotics and Prosthetics, Inc.

• Assisted Living Facility in Venice, FL
• Providers in Venice, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.