Sumter Place TRS LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

9307 Issued in FL

Legal business name

SUMTER PLACE TRS LLC

Practice address

1550 Killingsworth Way
The Villages, FL 32162-2175

Phone

(352) 674-3500

Fax

(352) 674-3512

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Sheila O Oetting

Title

Administrator

Phone

(352) 674-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sumter Place in The Villages Adult Day Care Doing business as

Tax ID family

Sumter Place in the Villages2 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.

• Sumter Place TRS

  • Assisted Living Facility
  • The Villages, FL
  • NPI 1023405446
  NPD tax ID

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1194183376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 KILLINGSWORTH WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622175",
            "telephone_number": "352-674-3500",
            "fax_number": "352-674-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 KILLINGSWORTH WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622175",
            "telephone_number": "352-674-3500",
            "fax_number": "352-674-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER PLACE TRS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "OETTING",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-674-3500"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015273300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumter Place in The Villages Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine L Sullivan, MD
• Christopher John Sullivan, MD
• Thomas Joseph Sullivan, MD
• Nicole Leigh Sumner, LPTA
• Sumter Place TRS
• Suncoast Spine and Pain Institute PLLC
• Chelsey M Sundberg, APRN
• Sunshine Kidney Care LLC
• Deon Keiva-Marie Sutherland, MD
• Caroline Marie Sutton, PHARMD

• Adult Day Care Clinic/Center in The Villages, FL
• Providers in The Villages, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.