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SUMMERFIELD SENIOR LIVING OF GULFPORT LLC
NPI 1144957002
Assisted Living Facility in Gulfport, MS

Active since August 02, 2022CLIA 25D2228848 · Waiver
14744 N SWAN RD, GULFPORT, MS 39503(228) 678-1100 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 24, 2022, Aug 2, 2022 (2 updates tracked since 2022).

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

NPI1144957002
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERFIELD SENIOR LIVING OF GULFPORT LLC
Location Address14744 N SWAN RDGulfport, MS 39503-8582
Mailing Address14744 N Swan RdGulfport, MS 39503-8582 · (228) 678-1100
Phone(228) 678-1100
Organization SubpartNo
Authorized OfficialRyan MarcombCfo · (504) 931-3111
Enumeration DateAugust 2, 2022
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1144957002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

14744 N SWAN RD, Gulfport, MS 39503
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Other Names 1

Doing Business AsSummerfield Senior Living

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, MS
Active · expires Jun 30, 2027
CLIA Number25D2228848
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorDana Leonard
Laboratory Phone(228) 678-1100
Laboratory LocationSummerfield Senior Living Of Gulfport LLC14744 N Swan Rd, Gulfport, MS 39503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is SUMMERFIELD SENIOR LIVING OF GULFPORT LLC's NPI number?

The NPI number assigned to this healthcare provider is 1144957002, enumerated as an "organization" on August 02, 2022.

Where is the provider located?

The provider is located at 14744 N SWAN RD GULFPORT, MS 39503 and the phone number is (228) 678-1100.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.