Brookdale Clearwater

LBN: Summerville At Clearwater Llc
Brookdale Clearwater is an health care organization with primary practice located at 2750 Drew Street , Clearwater FL 33759. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Summerville At Clearwater Llc can be contacted via phone (727) 799-2177, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
2750 Drew Street Clearwater FL 33759
Phone: (727) 799-2177
Fax: (727) 726-4145
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 AL6670 Florida

Profile Details

NPI number 1275744138
LBN Legal business name Summerville At Clearwater Llc
DBA Doing business as Brookdale Clearwater
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2007
Last updated Jun 13th, 2016 - about 9 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 1275744138 NPPES
Florida MEDICAID 0110369-00

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