Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Summerville 17, LLC

Assisted Living Facility in Deerfield Beach, FL · enumerated 2009 · authorized official Bryan Richardson, Evp, Chief Admin. Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205163995

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Registry record

Entity type Organization (Type 2)

Legal business name Summerville 17, LLC

Other name <Unavail>

Practice address 2403 W Hillsboro Blvd, Deerfield Beach, FL, 33442

Phone (954) 426-3800

Enumeration date Nov 17, 2009

Last updated in NPPES May 13, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License AL9401 (FL) Primary

Authorized official

Name Bryan Richardson

Title Evp, Chief Admin. Officer

Phone (615) 564-8131

Other identifiers

Identifier	Type	State	Issuer
0122941-00	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-05-13. Verify at npiregistry.cms.hhs.gov.

Where is Summerville 17, LLC located?

The practice location on file with NPPES is in Deerfield Beach, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-13.