Brookdale St. Augustine

LBN: Summerville At St. Augustine, Llc
Brookdale St. Augustine is an health care organization with primary practice located at 150 Mariner Health Way , St Augustine FL 32086-3215. 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 St. Augustine, Llc can be contacted via phone (904) 794-9988, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
150 Mariner Health Way St Augustine FL 32086-3215
Phone: (904) 794-9988
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 AL9908 Florida

Profile Details

NPI number 1902132749
LBN Legal business name Summerville At St. Augustine, Llc
DBA Doing business as Brookdale St. Augustine
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2009
Last updated May 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 1902132749 NPPES
Florida MEDICAID 0124330-00

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