Summerville 14, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9322 Issued in FL

Legal business name

SUMMERVILLE 14, LLC

Doing business as

Emeritus at Bonita Springs

Practice address

26850 S Bay Dr
Bonita Springs, FL 34134-4379

Phone

(239) 948-2600

NPI assigned

Nov 23, 2009

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMERVILLE INVESTORS, LLCAs reported in NPPES

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

Authorized official

Name

Noelle Bickel

Title

Licensing Specialist

Phone

(206) 298-2909

Specialties & licenses 1

Addresses

Other names 1

• Emeritus at Bonita Springs Doing business as

Part of

Summerville 2 LLC

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1801124201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 S BAY DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344379",
            "telephone_number": "239-948-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE 14, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERVILLE INVESTORS, LLC",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Bonita Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Nicole Straub, RN
• Kristine Strumpfler, APRN
• Stanislaw J Strycharz, PSY.D.
• Donald Raymond Sugarman, M.D.
• Joel Robert Sukonik, MD
• Suncoast New Options Suffridge Drive, LLC
• Sunrise Community, Inc.
• Sunrise Therapy Services LLC
• Sunrise Transportation Inc
• Sunshine State Counseling Center, LLC

• Assisted Living Facility in Bonita Springs, FL
• Providers in Bonita Springs, 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 Nov 23, 2009; 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.