Summers Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9402 Issued in FL

Legal business name

SUMMERS ASSISTED LIVING FACILITY

Practice address

1225 SW Grandview St
Lake City, FL 32025-0740

Phone

(386) 466-0005

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila R Desmartin

Title

Administrator

Phone

(386) 466-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Summers

  • Assisted Living Facility
  • Lake City, FL
  • NPI 1972904381
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1881010072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SW GRANDVIEW ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250740",
            "telephone_number": "386-466-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SW GRANDVIEW ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250740",
            "telephone_number": "386-466-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "DESMARTIN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-466-0005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693311400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Strods, PHARM.D.
• Shelley A Stroud
• Melissa Bledsoe Stubbs
• Ian Suber
• Buie Summerlin, APRN
• Janice Summers
• Marlene M Summers, CNM
• Suncoast New Options Spring Street, LLC
• Sunrise Community, Inc.
• Pachagiri L Suresh, MD

• Assisted Living Facility in Lake City, FL
• Providers in Lake City, 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 Mar 12, 2014; 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.