Organization Active NPI

The Plantation on Summers LLC

Doing business as The Plantation on Summers ALF

  • Assisted Living Facility
  • Lake City, FL
National Provider Identifier
1417383241
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5191 Issued in FL
Legal business name
THE PLANTATION ON SUMMERS LLC
Doing business as
The Plantation on Summers ALF
Practice address
147 SW Summers LN
Lake City, FL 32025-0762
Phone
(386) 755-2737
Fax
(386) 719-7098
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Mr. Michael John Bay
Title
Administrator
Phone
(386) 755-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5191 FL Primary

Addresses

Primary practice location

147 SW Summers LN
Lake City, FL 32025-0762

Mailing address

147 SW Summers LN
Lake City, FL 32025-0762
Phone (386) 755-2737

Other identifiers 1

IdentifierTypeStateIssuer
002432700MedicaidFL

Other names 1

  • The Plantation on Summers ALF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1417383241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SW SUMMERS LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250762",
            "telephone_number": "386-755-2737",
            "fax_number": "386-719-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SW SUMMERS LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250762",
            "telephone_number": "386-755-2737",
            "fax_number": "386-719-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLANTATION ON SUMMERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "BAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-755-2737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002432700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Plantation on Summers ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.