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Summerville at Golden Pond, LLC

Assisted Living Facility in Bradenton, FL · enumerated 2007 · authorized official Byran Richardson, Evp, Chief Admin. Officer.

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

National Provider Identifier

1629287420

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Registry record

Entity type Organization (Type 2)
Legal business name Summerville at Golden Pond, LLC
Other name <Unavail>
Practice address 450 67th Street North, Bradenton, FL, 34209
Phone (941) 794-5657
Fax (941) 798-3521
Enumeration date May 21, 2007
Last updated in NPPES Jun 13, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Secondary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License AL4712 (FL) Primary

Authorized official

Name Byran Richardson
Title Evp, Chief Admin. Officer
Phone (615) 564-8131

Other identifiers

Identifier Type State Issuer
06905137-00 Medicaid FL -
140353200 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

What is the NPI number for Summerville at Golden Pond, LLC?
The NPI for Summerville at Golden Pond, LLC is 1629287420, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Summerville at Golden Pond, LLC?
NPPES lists Byran Richardson (Evp, Chief Admin. Officer) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-13.