Our Home At Beacon Hill

LBN: 141 Beacon Operator Llc
Our Home At Beacon Hill is an health care organization with primary practice located at 141 Kaelyn Ln , Port St Joe FL 32456-6180. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. 141 Beacon Operator Llc can be contacted via phone (850) 647-4000, or through Morrow, Luan via phone (941) 320-4210.

Contact Information

Primary practice address
141 Kaelyn Ln Port St Joe FL 32456-6180
Phone: (850) 647-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morrow, Luan
Phone: (941) 320-4210

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1568014991
LBN Legal business name 141 Beacon Operator Llc
DBA Doing business as Our Home At Beacon Hill
Authorized official Morrow, Luan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2019
Last updated Feb 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568014991 NPPES
Florida MEDICAID 104726900

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