Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SUMMERVILLE AT ST. AUGUSTINE, LLC
Active
Organization
SUMMERVILLE AT ST. AUGUSTINE, LLC
Active
Other names
Brookdale St. Augustine
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MUNOZ (ASSISTANT SECRETARY)
(414) 918-5443
Entity
Organization
Contact information
Practice address
150 MARINER HEALTH WAY, ST AUGUSTINE, FL 32086-3215
(904) 794-9988
Mailing address
150 MARINER HEALTH WAY, ST AUGUSTINE, FL 32086-3215
(904) 794-9988
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124330-00
—
FL
Enumeration date
10/29/2009
Last updated
09/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up