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

Summerville at Prince William, Inc

Organization Assisted Living Facility · NPI 1104034412

Summerville at Prince William, Inc is an Assisted Living Facility in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3940 Prince William Pkwy
Woodbridge, VA 22192-4513
Phone: (703) 680-0600
Fax: (703) 680-0790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence WLO-03-780 (VA)
Alzheimer Center (Dementia Center) Taxonomy 311500000X · Licence WLO-03-780 (VA)

Record details

NPI number1104034412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noelle Diaz — Licensing Specialist · (206) 298-2909
Other names Emeritus At Lake Ridge
NPI enumeratedMay 18, 2007
Last updated in NPPESSeptember 9, 2009
Mailing address3131 Elliott Ave, Suite 500, Seattle, WA 98121-1032

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