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BROOKDALE BECKETT LAKE
NPI 1609103308
Assisted Living Facility in Clearwater, FL

Active since November 17, 2009
2155 MONTCLAIR RD, CLEARWATER, FL 33763(727) 797-7257 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookdale Beckett Lake NPPES

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

BROOKDALE BECKETT LAKE (NPI 1609103308) is a healthcare organization registered as an assisted living facility in Clearwater, 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

NPI1609103308
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERVILLE 9 LLC
Location Address2155 MONTCLAIR RDClearwater, FL 33763-4287
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(727) 797-7257
Organization SubpartNo
Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateNovember 17, 2009
Last NPPES UpdateMay 13, 2016
✔ NPI 1609103308 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 · AL10143
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.
2155 MONTCLAIR RD, Clearwater, FL 33763
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Other Names 1

Doing Business AsBrookdale Beckett Lake

Other Identifiers 1

Medicaid0110301-00FL

Other Providers at the Same Location NPPES 5

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

PRUITTPLACE - CLEARWATER, LLC
Assisted Living Facility
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 855-6191
NICOLE SBATELLA
Speech-Language Pathologist
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 855-6191
SARAH A FOLMER O.T.
Occupational Therapist
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 797-7257
MS. SHANEL LOREE JACKSON P.T.
Physical Therapist
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 380-5250
SH BECKETT LAKE, LLC.
Assisted Living Facility
2155 MONTCLAIR RD
CLEARWATER, FL 33763
Pinellas County (727) 797-7257

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 9 LLC's NPI number?

The NPI number for Summerville 9 LLC is 1609103308. It was assigned to this organization in the NPPES registry on November 17, 2009. The provider is doing business as Brookdale Beckett Lake.

Where is Summerville 9 LLC located?

Summerville 9 LLC is located at 2155 Montclair Rd, Clearwater, FL 33763. The listed phone number is (727) 797-7257.

What is Summerville 9 LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Summerville 9 LLC was last updated on May 13, 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.