NPI 1114253945 SUMMERVILLE AT MANDARIN, LLC MILWAUKEE WI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Summerville At Mandarin, Llc - NPI: 1114253945

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SUMMERVILLE AT MANDARIN, LLC
NPI Number: 1114253945
Entity Type Code: Organizational (2)
Authorized Official Name: BRYAN RICHARDSON
(EVP, CHIEF ADMIN. OFFICER)
Mailing Address: 10790 Old Saint Augustine Rd
Jacksonville
State: FL US
Postal Code: 322571078
Phone Number: 9042600800
Fax Number:
NPI Enumeration Date: 10/29/2009
NPI Last Update Date: 05/13/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 310400000X
License Number: AL8789
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Nursing & Custodial Care Facilities
Taxonomy Classification: Assisted Living Facility
Taxonomy Specialization:
Taxonomy Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


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