SUMMERFIELD SUITES
NPI 1700392453
Assisted Living Facility in Summerfield, FL

Active since December 18, 2017CLIA 10D2205933 · Waiver
17421 SE 109TH TERRACE RD, SUMMERFIELD, FL 34491(352) 307-0222 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summerfield Suites NPPES

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

SUMMERFIELD SUITES (NPI 1700392453) is a healthcare organization registered as an assisted living facility in Summerfield, Florida and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Laura Goicu, Owner, as its authorized official.

NPPES Registry Identity

NPI1700392453
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMORNINGSTAR ASSISTED LIVING, LLC
Location Address17421 SE 109TH TERRACE RDSummerfield, FL 34491-8928
Mailing Address17920 Gulf Blvd Apt 703Redington Shores, FL 33708-1143 · (360) 920-9598 · Fax (727) 914-0410
Organization SubpartNo
Authorized OfficialLaura GoicuOwner · (360) 920-9598
Enumeration DateDecember 18, 2017
NPI 1700392453 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 · 9339
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.
17421 SE 109TH TERRACE RD, Summerfield, FL 34491

Other Names 1

Doing Business AsSummerfield Suites

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 10D2205933

Summerfield Suites · Summerfield, FL
Active · expires Dec 15, 2026
CLIA Number10D2205933
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorRita Kelly
Laboratory Phone(360) 920-9598
Laboratory LocationSummerfield Suites17421 SE 109th Terr Rd, Summerfield, FL 34491
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 Morningstar Assisted Living, LLC's NPI number?

The NPI number for Morningstar Assisted Living, LLC is 1700392453. It was assigned to this organization in the NPPES registry on December 18, 2017. The provider is doing business as Summerfield Suites.

Where is Morningstar Assisted Living, LLC located?

Morningstar Assisted Living, LLC is located at 17421 SE 109th Terrace Rd, Summerfield, FL 34491. The listed phone number is (352) 307-0222.

What is Morningstar Assisted Living, LLC's specialty?

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

Does Morningstar Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2205933) is associated with this NPI, valid through December 15, 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 Morningstar Assisted Living, LLC was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.