SUMMERVILLE AT GOLDEN POND, LLC (NPI# 1629287420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629287420 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE AT GOLDEN POND, LLC |
| Other Organization Name | BROOKDALE PALMA SOLA |
| Practice Address |
450 67th Street North Bradenton FL 34209 |
| Mailing Address |
6737 W Washington St Ste 2300 Milwaukee WI 53214-5650 |
| Practice Telephone | 9417945657 |
| Practice Fax Number | 9417983521 |
| Mailing Telephone | 4149185000 |
| Mailing Fax Number | 2063014500 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | BYRAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
| Authorized Official Telephone | 6155648131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | AL4712 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 06905137-00 | 05 | |
| FL | 140353200 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Palma Sola | Doing Business As Name - Organization |
| Street Address |
450 67TH STREET NORTH |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992250633 | Resident Care Prime Consultants, LLC | Assisted Living Facility | 1801 51st St W, Bradenton, FL 34209-5031 | 2016-08-23 |
| 1518334648 | Twin Angels Assisted Living Facility | Assisted Living Facility | 323 49th St Nw, Bradenton, FL 34209-1922 | 2015-08-24 |
| 1447650528 | Lisa Bryan | Assisted Living Facility | 5015 29th Ave W, Bradenton, FL 34209-6119 | 2014-08-26 |
| 1467862276 | Dorcas House | Assisted Living Facility | 2601 13th Ave W, Bradenton, FL 34205-4030 | 2014-05-01 |
| 1255766697 | Oaks Bradenton Trs, LLC | Assisted Living Facility | 2614 43rd St W, Bradenton, FL 34209-6212 | 2013-09-04 |
| 1053751693 | 60th Avenue Alf, LLC | Assisted Living Facility | 2800 60th Ave W, Bradenton, FL 34207-4324 | 2013-06-27 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1164866869 | Nic 4 Bradenton Oaks Leasing LLC | Assisted Living Facility | 1015 7th Ave East, Bradenton, FL 34208 | 2013-04-24 |
| 1295072262 | Neuro International LLC | Assisted Living Facility | 7015 32nd Ave E, Bradenton, FL 34208-6755 | 2013-01-11 |
| 1144582461 | Waters Edge of Bradeton | Assisted Living Facility | 2015 32nd Ave W, Bradenton, FL 34205-4505 | 2012-06-12 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.