Brookdale Yorktowne
LBN: Summerville At Port Orange, Inc.
Brookdale Yorktowne is an health care organization with primary practice located at 1675 Dunlawton Ave , Port Orange FL 32127-4755. 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 Port Orange, Inc. can be contacted via phone (386) 761-1055, or through Richardson, Bryan via phone (615) 564-8131.
Contact Information
Primary practice address
1675 Dunlawton Ave
Port Orange FL 32127-4755
Phone: (386) 761-1055
Fax: (386) 761-4408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL9792 | Florida |
| Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X |
Profile Details
| NPI number | 1750545158 |
|---|---|
| LBN Legal business name | Summerville At Port Orange, Inc. |
| DBA Doing business as | Brookdale Yorktowne |
| Authorized official | Richardson, Bryan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750545158 | NPPES |
| Florida | MEDICAID | 0111336-00 |
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