Seacoast at Summers Pointe LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SEACOAST AT SUMMERS POINTE LLC

Doing business as

The Lodge at Summers Pointe

Practice address

1 Sunset Dr
Winchester, IN 47394-9251

Phone

(813) 341-2712

Fax

(765) 584-7496

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Marc Gerald Flores

Title

President

Phone

(813) 341-2712

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Lodge at Summers Pointe Doing business as

Locations

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1871061655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 HIGHLAND OAKS BLVD",
            "address_2": "STE A",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "813-341-2712",
            "fax_number": "815-935-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUNSET DR",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949251",
            "telephone_number": "813-341-2712",
            "fax_number": "765-584-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST AT SUMMERS POINTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2025-03-13",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-341-2712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300072238",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge at Summers Pointe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Lodge at Summers Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen E Ronald, APRN
• Thomas Lawrence Salsbury, MD
• Charles Benjamin Sandifer, ED.S
• Jarred M Scott, PTA
• Toni Lynn Scott, RN
• Seacoast at Summers Pointe LLC
• Megan Mackenzie Shannon
• Ava Elizabeth Sharrow-Ducsay, OTR
• Kellie Sheets, LCSW
• Shelly and Shelly'S LLC

• Assisted Living Facility in Winchester, IN
• Providers in Winchester, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.