PCP Clermont Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PCP CLERMONT OPCO LLC

Doing business as

Hunt Trace Senior Living

Practice address

1600 Hunt Trace Blvd
Clermont, FL 34711-5184

Phone

(352) 268-9865

NPI assigned

Apr 1, 2025

Organization subpart

No

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

Authorized official

Name

Seth Walker

Title

Cfo

Phone

(850) 583-7990

Specialties & licenses 1

Addresses

Other names 1

• Hunt Trace Senior Living 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

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1619770716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 BARRINGTON CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086805",
            "telephone_number": "850-583-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HUNT TRACE BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115184",
            "telephone_number": "352-268-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCP CLERMONT OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-583-7990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hunt Trace Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Marie Patterson, SLPA
• Paul McTurk LLC
• Laura R Paulk, MD
• PC Endo South PA
• PC Endo South PA
• PCR-X Logistics LLC
• Peace in It Togeather
• Mariah Pearson
• Kelly Pecora
• Ryan Pederson, ATC, LAT

• Assisted Living Facility in Clermont, FL
• Providers in Clermont, 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 Apr 1, 2025; 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.