BROOKDALE CAPE COD
NPI 1295856136
Assisted Living Facility in Hyannis, MA

Q: What is Summerville 4, LLC's NPI number?

The NPI number for Summerville 4, LLC is 1295856136. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Brookdale Cape Cod.

Q: What is Summerville 4, LLC's specialty?

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

Active since April 02, 2007CLIA 22D2232717 · Waiver

790 FALMOUTH ROAD, HYANNIS, MA 02601(508) 790-7666(508) 790-7667 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brookdale Cape Cod NPPES

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

BROOKDALE CAPE COD (NPI 1295856136) is a healthcare organization registered as an assisted living facility in Hyannis, Massachusetts and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1295856136

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUMMERVILLE 4, LLC

Location Address790 FALMOUTH ROADHyannis, MA 02601

Mailing Address6737 W Washington St Ste 2300Milwaukee, WI 53214-5650 · (414) 918-5000 · Fax (206) 357-7292

Phone(508) 790-7666

Fax(508) 790-7667

Organization SubpartNo

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

Enumeration DateApril 2, 2007

Last NPPES UpdateJune 6, 2016

✔ NPI 1295856136 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.

790 FALMOUTH ROAD, Hyannis, MA 02601

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Other Names 1

Doing Business AsBrookdale Cape Cod

Other Identifiers 2

Medicaid10612MA

Medicaid1905899MA

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 22D2232717

Brookdale Cape Cod · Hyannis, MA

Active · expires Aug 16, 2027

CLIA Number22D2232717

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 17, 2025

Certificate Expiration DateAugust 16, 2027

Laboratory DirectorPatricia M. Herlihy

Laboratory Phone(508) 790-7666

Laboratory LocationBrookdale Cape Cod790 Falmouth Road, Hyannis, MA 02601

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summerville 4, LLC's NPI number?

The NPI number for Summerville 4, LLC is 1295856136. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Brookdale Cape Cod.

Where is Summerville 4, LLC located?

Summerville 4, LLC is located at 790 Falmouth Road, Hyannis, MA 02601. The listed phone number is (508) 790-7666.

What is Summerville 4, LLC's specialty?

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

Does Summerville 4, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2232717) is associated with this NPI, valid through August 16, 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 Summerville 4, LLC was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.