Summerfield Senior Living of Gulfport LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUMMERFIELD SENIOR LIVING OF GULFPORT LLC

Practice address

14744 N Swan Rd
Gulfport, MS 39503-8582

Phone

(228) 678-1100

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Ryan Marcomb

Title

Cfo

Phone

(504) 931-3111

Specialties & licenses 1

Addresses

Other names 1

• SUMMERFIELD SENIOR LIVING Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1144957002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14744 N SWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038582",
            "telephone_number": "228-678-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14744 N SWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038582",
            "telephone_number": "228-678-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERFIELD SENIOR LIVING OF GULFPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "MARCOMB",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "504-931-3111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMERFIELD SENIOR LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Sue Stuart, CFNP
• Tereasa Stuckey
• Bruce Wayne Sullivan, LPC
• Chantal Sullivan, PMHNP-BC
• James Sullivan, CRNA
• Summit Podiatry Center PLLC
• Avery Sumrall
• Billi J Sumrall, MS CCC/SLP
• Savannah Sumrall
• Naga Anjani Bhaskar Srini Sunkara, MD

• Assisted Living Facility in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.