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PCP CLERMONT OPCO LLC
NPI 1619770716
Assisted Living Facility in Clermont, FL

Active since April 01, 2025CLIA 10D0997962 · Waiver
1600 HUNT TRACE BLVD, CLERMONT, FL 34711(352) 268-9865 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pcp Clermont Opco Llc NPPES

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

PCP CLERMONT OPCO LLC (NPI 1619770716), doing business as Hunt Trace Senior Living, is a healthcare organization registered as an assisted living facility in Clermont, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Seth Walker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619770716
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePCP CLERMONT OPCO LLC
Location Address1600 HUNT TRACE BLVDClermont, FL 34711-5184
Mailing Address2573 Barrington CirTallahassee, FL 32308-6805 · (850) 583-7990
Phone(352) 268-9865
Organization SubpartNo
Authorized OfficialSeth WalkerCfo · (850) 583-7990
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1619770716 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.
1600 HUNT TRACE BLVD, Clermont, FL 34711
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Other Names 1

Doing Business AsHunt Trace Senior Living

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 10D0997962

Pcp Clermont Opco, LLC Dba Hunt Trace Senior Living · Clermont, FL
Active · expires Apr 1, 2028
CLIA Number10D0997962
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorLindsay Collins
Laboratory Phone(352) 394-5549
Laboratory LocationPcp Clermont Opco, LLC Dba Hunt Trace Senior Living1600 Hunt Trace Blvd, Clermont, FL 34711
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

CLERMONT ALF INVESTORS, LLC
Assisted Living Facility
1600 HUNT TRACE BLVD
CLERMONT, FL 34711
Lake County (352) 394-5549
CLERMONT ALF INVESTORS, LLC
Assisted Living Facility
1600 HUNT TRACE BLVD
CLERMONT, FL 34711
Lake County (352) 394-5549
INTEGRITY THERAPY, LLC
Physical Therapist
1600 HUNT TRACE BLVD
CLERMONT, FL 34711
Lake County (863) 617-9400
JULIE ANN GUTHERMAN OT
Occupational Therapist
1600 HUNT TRACE BLVD
CLERMONT, FL 34711
Lake County (352) 394-9838
STACEY JOYCE CHURCHILL MPT
Physical Therapist
1600 HUNT TRACE BLVD
CLERMONT, FL 34711
Lake County (352) 394-5549
H-BAY MINISTRIES, INC.
Assisted Living Facility
1600 HUNT TRACE BLVD
CLERMONT, FL 34711
Lake County (352) 394-5549

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 Pcp Clermont Opco LLC's NPI number?

The NPI number for Pcp Clermont Opco LLC is 1619770716. It was assigned to this organization in the NPPES registry on April 1, 2025. The provider is doing business as Hunt Trace Senior Living.

Where is Pcp Clermont Opco LLC located?

Pcp Clermont Opco LLC is located at 1600 Hunt Trace Blvd, Clermont, FL 34711. The listed phone number is (352) 268-9865.

What is Pcp Clermont Opco LLC's specialty?

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

Does Pcp Clermont Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0997962) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pcp Clermont Opco LLC was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.