Summerville at Wekiwa Springs, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9829 Issued in FL

Legal business name

SUMMERVILLE AT WEKIWA SPRINGS, LLC

Doing business as

Brookdale Wekiwa Springs

Practice address

203 South Wekiwa Springs Road
Apopka, FL 32703

Phone

(407) 889-7704

Fax

(407) 889-3425

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Bryan Richardson

Title

Evp, Chief Admin. Officer

Phone

(615) 564-8131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookdale Wekiwa Springs 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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1831309061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145650",
            "telephone_number": "414-918-5000",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SOUTH WEKIWA SPRINGS ROAD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32703",
            "telephone_number": "407-889-7704",
            "fax_number": "407-889-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE AT WEKIWA SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EVP, CHIEF ADMIN. OFFICER",
        "authorized_official_telephone_number": "615-564-8131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089458-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Wekiwa Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelita Jo Stunaire
• Harriett Sabrena Sukhoo, PMHNP-BC
• Nicole Suliveras, APRN
• Joye Lynn Sluus Sullivan, LMT
• Doyle Leonard Summerlin, D.M.D.
• Sunbelt Health & Rehab Center Apopka Inc (AdventHealth Care Center Apopka North)
• Sunny Days Retirement Home
• Sunshine Med Trans LLC
• Supportive Steps ABA
• Yves Michel Surin, PHYSICAL THERAPIST A

• Assisted Living Facility in Apopka, FL
• Providers in Apopka, 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 13, 2016; 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.