NPIMap

Organization Active NPI

Summerville Senior Living LLC

  • Assisted Living Facility
  • Oviedo, FL
National Provider Identifier
1174733653
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9525 Issued in FL
Legal business name
SUMMERVILLE SENIOR LIVING LLC
Practice address
1725 Pine Bark Point
Oviedo, FL 32765
Phone
(407) 977-5250
Fax
(407) 977-7122
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ana De la Cerda
Title
Director of Licensing
Phone
(925) 866-1999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9525 FL Primary
Alzheimer Center (Dementia Center) 311500000X AL9525 FL

Addresses

Primary practice location

1725 Pine Bark Point
Oviedo, FL 32765

Mailing address

3000 Executive Pkwy
Suite 530
San Ramon, CA 94583-4255
Phone (925) 866-1999

Other names 1

  • Summerville at Oviedo LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookdale Oviedo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1174733653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EXECUTIVE PKWY",
            "address_2": "SUITE 530",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834255",
            "telephone_number": "925-866-1999",
            "fax_number": "925-866-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 PINE BARK POINT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-977-5250",
            "fax_number": "407-977-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DE LA CERDA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "DIRECTOR OF LICENSING",
        "authorized_official_telephone_number": "925-866-1999"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9525",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL9525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerville at Oviedo LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.