Healthcare Provider Details

I. General information

NPI: 1912813189
Provider Name (Legal Business Name): SUMMERWIND MANOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3117 W CARSON ST
TORRANCE CA
90503-5902
US

IV. Provider business mailing address

3117 W CARSON ST
TORRANCE CA
90503-5902
US

V. Phone/Fax

Practice location:
  • Phone: 310-328-1671
  • Fax: 310-861-8223
Mailing address:
  • Phone: 310-328-1671
  • Fax: 310-861-8223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH SOL
Title or Position: ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 310-533-7898