Summerville Homes Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11016 Issued in FL

Legal business name

SUMMERVILLE HOMES INC.

Practice address

7933 Indigo Street
Miramar, FL 33023-5840

Phone

(954) 961-9998

Fax

(954) 951-9887

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Correl A Wint

Title

Administrator

Phone

(954) 961-9998

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

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

• A Summerville Homes Assisted Living LLC

  • Assisted Living Facility
  • Miramar, FL
  • NPI 1326433020
  NPPES parent name

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1457611428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 INDIGO STREET",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235840",
            "telephone_number": "954-961-9998",
            "fax_number": "954-951-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7933 INDIGO STREET",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235840",
            "telephone_number": "954-961-9998",
            "fax_number": "954-951-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "WINT",
        "authorized_official_first_name": "CORREL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-961-9998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003496000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabel Maria Suate Pedroza, DDS
• Kinaree Patel Sujan, DO
• Haley Carol Sullivan, PHARMD
• Michael Blade Sullivan II, DO
• Gemuel Jason Malabrigo Sumagpang
• Summit Care Aco LLC (Thrive Healthcare)
• Sundry Medical Corporation
• Sunlife Pharmacy
• Sunny Residence LLC
• Sunnyside Love Extravagant Group LLC

• Assisted Living Facility in Miramar, FL
• Providers in Miramar, 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 May 23, 2012; 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.