SUMMERFIELD SENIOR LIVING OF GULFPORT LLC
NPI 1144957002
Assisted Living Facility in Gulfport, MS
About Summerfield Senior Living Of Gulfport Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMERFIELD SENIOR LIVING OF GULFPORT LLC (NPI 1144957002), doing business as Summerfield Senior Living, is a healthcare organization registered as an assisted living facility in Gulfport, Mississippi and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Ryan Marcomb, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2228848
Summerfield Senior Living Of Gulfport LLC · Gulfport, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Summerfield Senior Living Of Gulfport LLC's NPI number?
The NPI number for Summerfield Senior Living Of Gulfport LLC is 1144957002. It was assigned to this organization in the NPPES registry on August 2, 2022. The provider is doing business as Summerfield Senior Living.
Where is Summerfield Senior Living Of Gulfport LLC located?
Summerfield Senior Living Of Gulfport LLC is located at 14744 N Swan Rd, Gulfport, MS 39503. The listed phone number is (228) 678-1100.
What is Summerfield Senior Living Of Gulfport LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Summerfield Senior Living Of Gulfport LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2228848) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Summerfield Senior Living Of Gulfport LLC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Summerfield Senior Living Of Gulfport Llc · NPI 1144957002
Assisted Living Facility organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since August 2, 2022.
## Identity
- **NPI:** 1144957002 (Entity type: Organization)
- **Enumerated:** August 2, 2022
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** SUMMERFIELD SENIOR LIVING (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ryan Marcomb, CFO
## Practice location
- **Address:** 14744 N SWAN RD, Gulfport, MS 39503-8582
- **Phone:** (228) 678-1100
## Record status
- **NPPES last updated:** August 24, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144957002) · Data from the CMS NPPES public registry.