BROOKDALE DEER CREEK
NPI 1205163995
Assisted Living Facility in Deerfield Beach, FL

Q: What is Summerville 17, LLC's NPI number?

The NPI number for Summerville 17, LLC is 1205163995. It was assigned to this organization in the NPPES registry on November 17, 2009. The provider is doing business as Brookdale Deer Creek.

Q: What is Summerville 17, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since November 17, 2009

2403 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442(954) 426-3800 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Brookdale Deer Creek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKDALE DEER CREEK (NPI 1205163995) is a healthcare organization registered as an assisted living facility in Deerfield Beach, Florida and active in the NPI registry since November 2009. The organization lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1205163995

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUMMERVILLE 17, LLC

Location Address2403 W HILLSBORO BLVDDeerfield Beach, FL 33442-8507

Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647

Phone(954) 426-3800

Organization SubpartNo

Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131

Enumeration DateNovember 17, 2009

Last NPPES UpdateMay 13, 2016

✔ NPI 1205163995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL9401

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.

2403 W HILLSBORO BLVD, Deerfield Beach, FL 33442

Open in Google Maps ↗

Other Names 1

Doing Business AsBrookdale Deer Creek

Other Identifiers 1

Medicaid0122941-00FL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROD RENNA COTA

Occupational Therapy Assistant