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BROOKDALE PALMA SOLA
NPI 1629287420
Assisted Living Facility in Bradenton, FL

Active since May 21, 2007CLIA 10D1098100 · Waiver
450 67TH STREET NORTH, BRADENTON, FL 34209(941) 794-5657(941) 798-3521 Get Directions Write a Review

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

About Brookdale Palma Sola NPPES

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

BROOKDALE PALMA SOLA (NPI 1629287420) is a healthcare organization registered as an assisted living facility in Bradenton, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Byran Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1629287420
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERVILLE AT GOLDEN POND, LLC
Location Address450 67TH STREET NORTHBradenton, FL 34209
Mailing Address6737 W Washington St Ste 2300Milwaukee, WI 53214-5650 · (414) 918-5000 · Fax (206) 301-4500
Phone(941) 794-5657
Fax(941) 798-3521
Organization SubpartNo
Authorized OfficialByran RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateMay 21, 2007
Last NPPES UpdateJune 13, 2016
✔ NPI 1629287420 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 · AL4712
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.
450 67TH STREET NORTH, Bradenton, FL 34209
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Other Names 1

Doing Business AsBrookdale Palma Sola

Other Identifiers 2

Medicaid140353200FL
Medicaid06905137-00FL

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 10D1098100

Brookdale Palma Sola · Bradenton, FL
Active · expires Apr 9, 2027
CLIA Number10D1098100
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorDiane L. Gelardi
Laboratory Phone(941) 794-5657
Laboratory LocationBrookdale Palma Sola450 67th St West, Bradenton, FL 34209
CLIA data matches this NPI record on: 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 At Golden Pond, LLC's NPI number?

The NPI number for Summerville At Golden Pond, LLC is 1629287420. It was assigned to this organization in the NPPES registry on May 21, 2007. The provider is doing business as Brookdale Palma Sola.

Where is Summerville At Golden Pond, LLC located?

Summerville At Golden Pond, LLC is located at 450 67th Street North, Bradenton, FL 34209. The listed phone number is (941) 794-5657.

What is Summerville At Golden Pond, LLC's specialty?

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

Does Summerville At Golden Pond, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1098100) is associated with this NPI, valid through April 9, 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 At Golden Pond, LLC was last updated on June 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.