Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summerville at Mandarin, LLC

Organization Assisted Living Facility · NPI 1114253945

Summerville at Mandarin, LLC is an Assisted Living Facility in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10790 Old Saint Augustine Rd
Jacksonville, FL 32257-1078
Phone: (904) 260-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL8789 (FL)

Record details

NPI number1114253945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Richardson — Evp, Chief Admin. Officer · (615) 564-8131
Other names Brookdale Mandarin
NPI enumeratedOctober 29, 2009
Last updated in NPPESMay 13, 2016
Mailing address6737 W Washington St, Suite 2300, Milwaukee, WI 53214-5647

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