Brookdale Jensen Beach

LBN: Summerville 16, Llc
Brookdale Jensen Beach is an health care organization with primary practice located at 1700 Ne Indian River Dr , Jensen Beach FL 34957-5853. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Summerville 16, Llc can be contacted via phone (772) 225-1355, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
1700 Ne Indian River Dr Jensen Beach FL 34957-5853
Phone: (772) 225-1355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan
Phone: (615) 564-8131

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL9294 Florida
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X AL9294 Florida

Profile Details

NPI number 1447427703
LBN Legal business name Summerville 16, Llc
DBA Doing business as Brookdale Jensen Beach
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 13th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447427703 NPPES
Florida MEDICAID 0118952-00

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