BROOKDALE SAN PABLO
NPI 1578892980
Custodial Care Facility - Adult Care Home in San Pablo, CA

Active since December 14, 2009
13956 SAN PABLO AVE, SAN PABLO, CA 94806(510) 236-1444 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookdale San Pablo NPPES

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

BROOKDALE SAN PABLO (NPI 1578892980) is a healthcare organization registered as an adult care home in San Pablo, California and active in the NPI registry since December 2009. The organization lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1578892980
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSUMMERVILLE AT COBBCO, INC.
Location Address13956 SAN PABLO AVESan Pablo, CA 94806-5313
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Organization SubpartNo
Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateDecember 14, 2009
Last NPPES UpdateMay 12, 2016
NPI 1578892980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in CA · 075600298
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
13956 SAN PABLO AVE, San Pablo, CA 94806

Other Names 1

Doing Business AsBrookdale San Pablo

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Mental Illness
13956 SAN PABLO AVE
SAN PABLO, CA 94806

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 At Cobbco, Inc.'s NPI number?

The NPI number for Summerville At Cobbco, Inc. is 1578892980. It was assigned to this organization in the NPPES registry on December 14, 2009. The provider is doing business as Brookdale San Pablo.

Where is Summerville At Cobbco, Inc. located?

Summerville At Cobbco, Inc. is located at 13956 San Pablo Ave, San Pablo, CA 94806. The listed phone number is (510) 236-1444.

What is Summerville At Cobbco, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Summerville At Cobbco, Inc. was last updated on May 12, 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.