Brookdale Carollwood

LBN: Summerville At Carrollwood, Llc
Brookdale Carollwood is an health care organization with primary practice located at 13550 South Village Drive , Tampa FL 33618. 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 At Carrollwood, Llc can be contacted via phone (813) 908-5300, or through Richardson, Byran via phone (615) 564-8131.

Contact Information

Primary practice address
13550 South Village Drive Tampa FL 33618
Phone: (813) 908-5300
Fax: (813) 908-5304
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Byran
Phone: (615) 564-8131

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL9134 Florida
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X

Profile Details

NPI number 1922218361
LBN Legal business name Summerville At Carrollwood, Llc
DBA Doing business as Brookdale Carollwood
Authorized official Richardson, Byran
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Jun 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 1922218361 NPPES
Florida MEDICAID 0111609-00

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