OUR HOME AT BEACON HILL BSLC LLC (NPI# 1902293988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902293988 |
| Entity Type | Organization |
| Organization Name | OUR HOME AT BEACON HILL BSLC LLC |
| Practice Address |
141 Kaelyn Ln Port St Joe FL 32456-6180 |
| Practice Telephone | 8506474000 |
| Practice Fax Number | 8506474004 |
| Mailing Telephone | 8506474000 |
| Mailing Fax Number | 8506474004 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |
| Authorized Official Name | LIZA ROJAS (MANAGER) |
| Authorized Official Telephone | 9418096147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004659700 | 05 |
| Street Address |
141 KAELYN LN |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-6180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487941399 | Beacon By The Bay LLC | Assisted Living Facility | 141 Kaelyn Ln, Port St Joe, FL 32456-6180 | 2011-06-30 |
| 1568014991 | 141 Beacon Operator LLC | Assisted Living Facility | 141 Kaelyn Ln, Port St Joe, FL 32456-6180 | 2019-07-16 |
| 1578801866 | Beacon Villa Alf Operating LLC | Assisted Living Facility | 141 Kaelyn Ln, Port St Joe, FL 32456-6180 | 2013-01-22 |
| 1447539390 | Integras Therapy and Wellness Centers Inc. | Assisted Living Facility | 141 Kaelyn Ln, Port St Joe, FL 32456-6180 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| 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 |
|---|---|---|---|---|
| 1487941399 | Beacon By The Bay LLC | Assisted Living Facility | 141 Kaelyn Ln, Port St Joe, FL 32456-6180 | 2011-06-30 |
| 1124216239 | Geri Care Assisted Living and Rehabilitation Center | Assisted Living Facility | 180 Lightkeepers Dr, Port St Joe, FL 32456-6173 | 2007-10-15 |
| 1568014991 | 141 Beacon Operator LLC | Assisted Living Facility | 141 Kaelyn Ln, Port St Joe, FL 32456-6180 | 2019-07-16 |
| 1578801866 | Beacon Villa Alf Operating LLC | Assisted Living Facility | 141 Kaelyn Ln, Port St Joe, FL 32456-6180 | 2013-01-22 |
| 1447539390 | Integras Therapy and Wellness Centers Inc. | Assisted Living Facility | 141 Kaelyn Ln, Port St Joe, FL 32456-6180 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
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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.