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BROOKDALE YORKTOWNE
NPI 1750545158
Assisted Living Facility in Port Orange, FL

Active since July 15, 2008
1675 DUNLAWTON AVE, PORT ORANGE, FL 32127(386) 761-1055(386) 761-4408 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 Yorktowne NPPES

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

BROOKDALE YORKTOWNE (NPI 1750545158) is a healthcare organization registered as an assisted living facility in Port Orange, Florida and active in the NPI registry since July 2008. The organization lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1750545158
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERVILLE AT PORT ORANGE, INC.
Location Address1675 DUNLAWTON AVEPort Orange, FL 32127-4755
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(386) 761-1055
Fax(386) 761-4408
Organization SubpartNo
Authorized OfficialBryan RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateJuly 15, 2008
Last NPPES UpdateMay 13, 2016
✔ NPI 1750545158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL9792
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
1675 DUNLAWTON AVE, Port Orange, FL 32127
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Other Names 1

Doing Business AsBrookdale Yorktowne

Other Identifiers 1

Medicaid0111336-00FL

Other Providers at the Same Location NPPES 13

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

WICKSHIRE PORT ORANGE OPCO LLC
Assisted Living Facility
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 761-1055
JACQUELINE BRUCE
Physical Therapist
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 232-8943
MARGARET J. BOWS COTA
Occupational Therapy Assistant
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 761-1055
COLLIERS AT PORT ORANGE OPCO, LLC
Assisted Living Facility
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 232-8943
THERESA L HYATT PTA
Physical Therapy Assistant
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 761-1055
TRACI L. FOX OT
Occupational Therapist
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 761-1055
HCP PORT ORANGE FL OPCO, LLC
Assisted Living Facility
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 761-1055
LESLIE N COOK PTA
Physical Therapy Assistant
1675 DUNLAWTON AVE
PORT ORANGE, FL 32127
Volusia County (386) 761-1055

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 Port Orange, Inc.'s NPI number?

The NPI number for Summerville At Port Orange, Inc. is 1750545158. It was assigned to this organization in the NPPES registry on July 15, 2008. The provider is doing business as Brookdale Yorktowne.

Where is Summerville At Port Orange, Inc. located?

Summerville At Port Orange, Inc. is located at 1675 Dunlawton Ave, Port Orange, FL 32127. The listed phone number is (386) 761-1055.

What is Summerville At Port Orange, Inc.'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 At Port Orange, Inc. 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.