SUMMERVILLE 2 LLC NPI 1568799138

NPI Information

  • NPI: 1568799138
  • Provider Name: SUMMERVILLE 2, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: BRENTWOOD AT HOBART
  • CLIA Number: 15D0985712
  • Address: 1147 SOUTH 3RD STREET
    HOBART, IN
    ZIP 46342
  • Phone: (219) 945-1968

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NPI Details

SUMMERVILLE 2, LLC is an assisted living facility in Hobart, IN. The provider is 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. SUMMERVILLE 2, LLC NPI is 1568799138. The provider is registered as an organization entity type.
The provider Is Doing Business As Brentwood At Hobart.

The provider's business location address is:

1147 SOUTH 3RD STREET
HOBART, IN
ZIP 46342-956
Phone: (219) 945-1968
Fax: (219) 945-1219

The provider's authorized official is Noelle Diaz Bickel .
The authorized official title is Licensing Specialist and has the following contact phone number (206) 298-2909.

The CLIA number assigned to this NPI record is 15D0985712 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2009 and was last updated on 11/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility07-010890-1INDIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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