Summer's Landing, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL60408 Issued in FL

Legal business name

SUMMER'S LANDING, LLC

Practice address

615 Florida Ave
Lynn Haven, FL 32444-1737

Phone

(850) 370-0490

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Dickey

Title

Regional

Phone

(850) 370-0490

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1639661572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FLORIDA AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441737",
            "telephone_number": "850-370-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FLORIDA AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441737",
            "telephone_number": "850-370-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER'S LANDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "REGIONAL",
        "authorized_official_telephone_number": "850-370-0490"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL60408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "AL6048",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Andrew Bay Center, Inc.
• St. Andrew Bay Center, Inc.
• Lauronda Staples, LPN
• Jessica Marie Steele, RBT
• Storyarc Therapy
• Summers Landing LLC (Summers Landing Assisted Living)
• Surecare Transit LLC
• Candace Kirk Surface
• Karen Swoboda, M.S, B.C.B.A
• Lauren Sytsma, SLP

• Assisted Living Facility in Lynn Haven, FL
• Providers in Lynn Haven, 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 Jun 6, 2018; 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.