Brookdale Palma Sola

LBN: Summerville At Golden Pond, Llc
Brookdale Palma Sola is an health care organization with primary practice located at 450 67Th Street North , Bradenton FL 34209. 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 Golden Pond, Llc can be contacted via phone (941) 794-5657, or through Richardson, Byran via phone (615) 564-8131.

Contact Information

Primary practice address
450 67Th Street North Bradenton FL 34209
Phone: (941) 794-5657
Fax: (941) 798-3521
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 AL4712 Florida

Profile Details

NPI number 1629287420
LBN Legal business name Summerville At Golden Pond, Llc
DBA Doing business as Brookdale Palma Sola
Authorized official Richardson, Byran
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Jun 13th, 2016 - about 10 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 1629287420 NPPES
Florida MEDICAID 06905137-00
Florida MEDICAID 140353200

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