Beacon Villa Retirement Center

LBN: Beacon By The Bay Llc
Beacon Villa Retirement Center 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. Beacon By The Bay Llc can be contacted via phone (850) 647-4000, or through Rojas, Liza via phone (850) 647-4000.

Contact Information

Primary practice address
141 Kaelyn Ln Port St Joe FL 32456-6180
Phone: (850) 647-4000
Fax: (850) 647-4004
Website:
Map and Directions
Authorized official contact:
Name: Rojas, Liza
Phone: (850) 647-4000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10713 Florida

Profile Details

NPI number 1487941399
LBN Legal business name Beacon By The Bay Llc
DBA Doing business as Beacon Villa Retirement Center
Authorized official Rojas, Liza
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2011
Last updated Jun 30th, 2011 - about 13 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 1487941399 NPPES
Florida MEDICAID 000451700

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