Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Summerville at Port Orange, Inc.

Assisted Living Facility in Port Orange, FL · enumerated 2008 · authorized official Bryan Richardson, Evp, Chief Admin. Officer.

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

National Provider Identifier

1750545158

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Registry record

Entity type Organization (Type 2)

Legal business name Summerville at Port Orange, Inc.

Other name <Unavail>

Practice address 1675 Dunlawton Ave, Port Orange, FL, 32127

Phone (386) 761-1055

Fax (386) 761-4408

Enumeration date Jul 15, 2008

Last updated in NPPES May 13, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License AL9792 (FL) Primary

311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities Secondary

Authorized official

Name Bryan Richardson

Title Evp, Chief Admin. Officer

Phone (615) 564-8131

Other identifiers

Identifier	Type	State	Issuer
0111336-00	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

Where is Summerville at Port Orange, Inc. located?

The practice location on file with NPPES is in Port Orange, FL.

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.

Providers at this address

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