SUMMERVILLE AT WOODWARD ESTATE
NPI 1336376466
Assisted Living Facility in Bowie, MD

Active since June 16, 2009CLIA 21D2202194 · Waiver
14997 HEALTH CENTER DR, BOWIE, MD 20716(301) 464-4400(301) 464-4380 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summerville At Woodward Estate NPPES

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

SUMMERVILLE AT WOODWARD ESTATE (NPI 1336376466) is a healthcare organization registered as an assisted living facility in Bowie, Maryland and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Noelle Diaz, Licensing Specialist, as its authorized official.

NPPES Registry Identity

NPI1336376466
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERVILLE I, LLC
Location Address14997 HEALTH CENTER DRBowie, MD 20716-1082
Mailing Address3131 Elliott Ave, Suite 500Seattle, WA 98121-1044 · (206) 298-2909 · Fax (206) 301-4500
Fax(301) 464-4380
Organization SubpartYesParent: Summerville Senior Living, Inc.
Authorized OfficialNoelle DiazLicensing Specialist · (206) 301-4060
Enumeration DateJune 16, 2009
NPI 1336376466 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 MD · 16AL0748
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.
14997 HEALTH CENTER DR, Bowie, MD 20716

Other Names 1

Doing Business AsSummerville At Woodward Estate

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 21D2202194

Summerville I LLC Brookdale Woodward Estates · Bowie, MD
Active · expires Nov 24, 2026
CLIA Number21D2202194
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorIrene Bayer
Laboratory Phone(301) 464-4400
Laboratory LocationSummerville I LLC Brookdale Woodward Estates14997 Health Center Drive, Bowie, MD 20716
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 I, LLC's NPI number?

The NPI number for Summerville I, LLC is 1336376466. It was assigned to this organization in the NPPES registry on June 16, 2009. The provider is doing business as Summerville At Woodward Estate.

Where is Summerville I, LLC located?

Summerville I, LLC is located at 14997 Health Center Dr, Bowie, MD 20716. The listed phone number is (301) 464-4400.

What is Summerville I, LLC's specialty?

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

Does Summerville I, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2202194) is associated with this NPI, valid through November 24, 2026. 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 I, LLC was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.