Summerville at Prince William, Inc
NPI 1104034412 · Assisted Living Facility · Woodbridge, VA
Summerville at Prince William, Inc is a Assisted Living Facility organization in Woodbridge, VA (NPI 1104034412).
Provider details
- NPI number
- 1104034412
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Noelle Diaz, Licensing Specialist(206) 298-2909
- License
- WLO-03-780 (VA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Emeritus at Lake Ridge
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2009-09-09
Frequently asked questions
- What is Summerville at Prince William, Inc's NPI number?
- Summerville at Prince William, Inc's National Provider Identifier (NPI) is 1104034412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summerville at Prince William, Inc?
- Summerville at Prince William, Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Summerville at Prince William, Inc located?
- Summerville at Prince William, Inc's practice location on file with NPPES is 3940 Prince William Pkwy, Woodbridge, VA 22192-4513.
- What is Summerville at Prince William, Inc's phone number?
- The practice phone number listed in the NPPES registry for Summerville at Prince William, Inc is (703) 680-0600.
- Who is the authorized official for Summerville at Prince William, Inc?
- The authorized official listed on Summerville at Prince William, Inc's NPPES record is Noelle Diaz, Licensing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summerville at Prince William, Inc's NPI active?
- Yes — Summerville at Prince William, Inc's NPI (1104034412) is active in the NPPES registry as of the last update on 2009-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.