BROOKDALE WEST BOYNTON BEACH
NPI 1790012482
Assisted Living Facility in Boynton Beach, FL
About Brookdale West Boynton Beach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKDALE WEST BOYNTON BEACH (NPI 1790012482) is a healthcare organization registered as an assisted living facility in Boynton Beach, Florida and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Bryan Richardson, Evp, Chief Admin. Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 10D0964802
Brookdale West Boynton Beach · Boynton Beach, FLOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 15, LLC's NPI number?
The NPI number for Summerville 15, LLC is 1790012482. It was assigned to this organization in the NPPES registry on November 17, 2009. The provider is doing business as Brookdale West Boynton Beach.
Where is Summerville 15, LLC located?
Summerville 15, LLC is located at 8220 Jog Rd, Boynton Beach, FL 33472. The listed phone number is (561) 733-3200.
What is Summerville 15, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Summerville 15, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0964802) is associated with this NPI, valid through October 28, 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 Summerville 15, 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.
# Brookdale West Boynton Beach · NPI 1790012482
Assisted Living Facility organization in Boynton Beach, Florida. Organization record, active in the CMS NPPES registry since November 17, 2009.
## Identity
- **NPI:** 1790012482 (Entity type: Organization)
- **Enumerated:** November 17, 2009
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Summerville 15, Llc
- **Organization subpart:** No
- **Authorized official:** Bryan Richardson, EVP, CHIEF ADMIN. OFFICER
## Practice location
- **Address:** 8220 JOG RD, Boynton Beach, FL 33472-2938
- **Phone:** (561) 733-3200
## Record status
- **NPPES last updated:** May 13, 2016
- **Other identifiers:** Medicaid 0118960-00 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790012482) · Data from the CMS NPPES public registry.