Summerville I, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

16AL0748 Issued in MD

Legal business name

SUMMERVILLE I, LLC

Doing business as

Summerville at Woodward Estate

Practice address

14997 Health Center Dr
Bowie, MD 20716-1082

Phone

(301) 464-4400

Fax

(301) 464-4380

NPI assigned

Jun 16, 2009

Last updated

Jun 16, 2009By the provider in NPPES

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

Title

Licensing Specialist

Phone

(206) 301-4060

Specialties & licenses 1

Addresses

Other names 1

• Summerville at Woodward Estate 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

Part of

Summerville at Chestnut Hill LLC

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1336376466",
    "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": "14997 HEALTH CENTER DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161082",
            "telephone_number": "301-464-4400",
            "fax_number": "301-464-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERVILLE SENIOR LIVING, INC.",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-301-4060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL0748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerville at Woodward Estate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Streeb, CRNP
• Strictly Therapy
• Babatunde Sule
• Mary L Sullivan, CCC-SLP
• Bola O Sulman
• Samantha M Sumner
• Ruihan Sun
• Magesh Sundaram, MD
• Sunday Morning Therapy Services, LLC
• Anita May Sung, D.D.S.

• Assisted Living Facility in Bowie, MD
• Providers in Bowie, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.