SUMMERVILLE AT OCOEE, INC (NPI# 1093041857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093041857 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE AT OCOEE, INC |
| Other Organization Name | BROOKDALE OCOEE |
| Practice Address |
80 N Clarke Rd Ocoee FL 34761-9163 |
| Mailing Address |
6737 W Washington St Suite 2300 Milwaukee WI 53214-5647 |
| Practice Telephone | 4072992710 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER) |
| Authorized Official Telephone | 6155648131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL9731 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0088645-00 | 05 |
| Other Name | Type Code |
|---|---|
| Brookdale Ocoee | Doing Business As Name - Organization |
| Street Address |
80 N CLARKE RD |
| City | OCOEE |
| State | FL |
| Zip Code | 34761-9163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386747293 | Carmen Medina | Occupational Therapist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2006-09-06 |
| 1164052551 | Ocoee1818 Opco, LLC | Assisted Living Facility | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2020-01-24 |
| 1255672598 | Stephanie Britt Burns | Speech-Language Pathologist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2013-03-12 |
| 1720383649 | Denise Beaulieu Hatch | Speech-Language Pathologist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2011-01-24 |
| 1912234931 | Maureen Novlet Ingraham | Occupational Therapist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2009-11-12 |
| 1174771927 | Jennifer Ann Holtz | Occupational Therapist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2008-09-05 |
| 1477739332 | Christine A Mchenry | Occupational Therapy Assistant | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2008-01-10 |
| 1174706501 | Lisa M Jenkins | Physical Therapist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2007-12-07 |
| 1689890253 | Judith Mccormick | Occupational Therapist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2007-04-18 |
| 1033254339 | Mary E. Ault | Physical Therapy Assistant | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736186 | Alyson Foisy | Behavior Technician | 2930 Maguire Road, Suite 200, Ocoee, FL 34761 | 2020-07-05 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1255969259 | Medical Risk Solutions | Family Medicine | 175 N Bluford Ave, Ocoee, FL 34761 | 2020-03-27 |
| 1912533027 | Fm Dental, LLC | Clinic/Center | 1104 South Clarke Rd, Suite 10, Ocoee, FL 34761 | 2020-03-20 |
| 1518509330 | Noel Christine Montoya | Behavior Technician | 2930 Maguire Rd Suite 200, Ocoee, FL 34761 | 2019-10-14 |
| 1346895166 | Dentists of Ocoee, Pa | Dentist | 11050 West Colonial Drive, Suite 30, Ocoee, FL 34761 | 2019-08-08 |
| 1386209575 | Chantal Monde | Nurse Practitioner | 1000 W Colonial Drive, Ocoee, FL 34761 | 2019-05-03 |
| 1740844422 | Angela Renee's Home Care LLC | In Home Supportive Care | 2398 Cory Ct, Ocoee, FL 34761 | 2019-04-27 |
| 1346713492 | Orlando Health Central, Inc. | Skilled Nursing Facility | 1300 Hempel Avenue, Ocoee, FL 34761 | 2019-01-10 |
| 1609352970 | Agape's Way, Inc | Nursing Care | 1851 Sparkling Water Circle, Ocoee, FL 34761 | 2018-07-19 |
| Find all providers in zip 34761 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073052973 | Country Comfort Care II, Inc. | Assisted Living Facility | 863 Kuenz Pl, Ocoee, FL 34761-3173 | 2017-02-13 |
| 1124479746 | Greater Vision Family Care Home | Assisted Living Facility | 4991 Timber Ridge Trl, Ocoee, FL 34761-8427 | 2016-06-24 |
| 1164052551 | Ocoee1818 Opco, LLC | Assisted Living Facility | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2020-01-24 |
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|---|---|---|---|---|
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| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.