BEACON POINTE (NPI# 1225693534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225693534 |
| Entity Type | Organization |
| Organization Name | BEACON POINTE |
| Practice Address |
732 E Centre Ave Portage MI 49002-5517 |
| Mailing Address |
111 W Ferry St Berrien Springs MI 49103-1154 |
| Practice Telephone | 2697751430 |
| Mailing Telephone | 2694657600 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | TODD DOCKERTY (OWNER/COO) |
| Authorized Official Telephone | 2697751430 |
| Is Organization Subpart | Y |
| Parent Organization Name | DOCKERTY HEALTH CARE SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | ADULT FOSTER CARE | AL390381477 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BEACON POINTE INSURANCE SERVICES, LLC | 24 Corporate Plaza Dr., Suite 150, Newport Beach, California 92660 |
| North Carolina Corporations | Beacon Pointe Partners LLC | 996 River Highway, Mooresville, NC 28117 |
| Connecticut Business Registrations | BEACON POINTE REALTY, LLC | 435 Shrewsbury St. 3rd Floor, Worcester, MA 01604 |
| Colorado Business Entities | Beacon Pointe, LLC | 8390 E. Crescent Parkway, Suite 650, Suite 650, Greenwood Village, CO 80111 |
| Street Address |
732 E CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427368505 | Rittenhouse Senior Living of Portage LLC | Assisted Living Facility | 6235 Sterling Creek Rd, Portage, IN 46368-7715 | 2010-10-07 |
| 1629305321 | Fountain View of Portage | Assisted Living Facility | 7818 Kenmure Dr, Portage, MI 49024-5082 | 2009-11-17 |
| 1861400707 | Miller's Health Systems, Inc. | Assisted Living Facility | 5911 Lute Rd, Portage, IN 46368-4824 | 2006-08-04 |
| 1598310005 | The Wyndmoor of Portage, LLC | Assisted Living Facility | 3444 Swanson Rd, Portage, IN 46368-4999 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567890 | Mcap Holt Opco LLC | Assisted Living Facility | 4300 Keller Rd, Holt, MI 48842-1268 | 2020-10-27 |
| 1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.