Sumilang Investement Group, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11734 Issued in FL

Legal business name

SUMILANG INVESTEMENT GROUP, LLC

Doing business as

Angel Care Assisted Living Facility

Practice address

4301 31St St S
St Petersburg, FL 33712-4053

Phone

(727) 867-1300

Fax

(727) 867-5200

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Romil Sumilang

Title

Manager

Phone

(727) 867-1300

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Angel Care Assisted Living Facility Doing business as

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1427473420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 TYLERS RIVER RUN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593911",
            "telephone_number": "908-839-5727",
            "fax_number": "813-909-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 31ST ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337124053",
            "telephone_number": "727-867-1300",
            "fax_number": "727-867-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMILANG INVESTEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "SUMILANG",
        "authorized_official_first_name": "ROMIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-867-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11734",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL11734",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL11734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001822800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Care Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Marie Sullivan, LMHC
• Kerri M Sullivan
• Kristi R Sullivan
• Lauren Sullivan
• Matthew Burton Sullivan, MS CCC SLP
• Celeste Elaine Summer, OTR
• Summers Anti-Aging Center LLC
• Janice Alexandra Summers, MD
• Summit Living LLC
• Summit Path Mental Health Limited Liability Company

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.