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BROOKDALE CAROLLWOOD
NPI 1922218361
Assisted Living Facility in Tampa, FL

Active since May 23, 2007
13550 SOUTH VILLAGE DRIVE, TAMPA, FL 33618(813) 908-5300(813) 908-5304 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 Carollwood NPPES

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

BROOKDALE CAROLLWOOD (NPI 1922218361) is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since May 2007. The organization lists Byran Richardson, Evp, Chief Admin. Officer, as its authorized official.

NPPES Registry Identity

NPI1922218361
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUMMERVILLE AT CARROLLWOOD, LLC
Location Address13550 SOUTH VILLAGE DRIVETampa, FL 33618
Mailing Address6737 W Washington St Ste 2300Milwaukee, WI 53214-5650 · (414) 918-5000 · Fax (925) 866-8468
Phone(813) 908-5300
Fax(813) 908-5304
Organization SubpartNo
Authorized OfficialByran RichardsonEvp, Chief Admin. Officer · (615) 564-8131
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 13, 2016
✔ NPI 1922218361 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 · AL9134
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
13550 SOUTH VILLAGE DRIVE, Tampa, FL 33618
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Other Names 1

Doing Business AsBrookdale Carollwood

Other Identifiers 1

Medicaid0111609-00FL

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 Carrollwood, LLC's NPI number?

The NPI number for Summerville At Carrollwood, LLC is 1922218361. It was assigned to this organization in the NPPES registry on May 23, 2007. The provider is doing business as Brookdale Carollwood.

Where is Summerville At Carrollwood, LLC located?

Summerville At Carrollwood, LLC is located at 13550 South Village Drive, Tampa, FL 33618. The listed phone number is (813) 908-5300.

What is Summerville At Carrollwood, LLC'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 Carrollwood, 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.