BEACON VILLA RETIREMENT CENTER
NPI 1487941399
Assisted Living Facility in Port St Joe, FL

NPI Status: Active since June 30, 2011

Contact Information

141 KAELYN LN
PORT ST JOE, FL
ZIP 32456
Phone: (850) 647-4000
Fax: (850) 647-4004

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  • Organization
  • Assisted Living Facility

About BEACON VILLA RETIREMENT CENTER

This page provides the complete NPI Profile along with additional information for Beacon Villa Retirement Center, a provider established in Port St Joe, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1487941399 assigned on June 2011. The practitioner's primary taxonomy code is 310400000X with license number AL10713 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Beacon Villa Retirement Center. The authorized official of this NPI record is Liza Rojas (Manager)

NPI
1487941399
Provider Legal Name
BEACON BY THE BAY LLC
Other Organization Name
BEACON VILLA RETIREMENT CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
141 KAELYN LN PORT ST JOE, FL 32456
Location Phone
(850) 647-4000
Location Fax
(850) 647-4004
Mailing Address
141 KAELYN LN PORT ST JOE, FL 32456
Mailing Phone
(850) 647-4000
Mailing Fax
(850) 647-4004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2011
Last Update Date
06-30-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL10713
License State
FL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LIZA ROJAS

Authorized Official Title
MANAGER
Authorized Official Phone
(850) 647-4000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000451700MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487941399
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671842318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 8 + 4 + 2 + 3 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1487941399 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447539390INTEGRAS THERAPY AND WELLNESS CENTERS INC.
Organization
Assisted Living Facility141 KAELYN LN
PORT ST JOE, FL 32456
(850) 647-4000
1578801866BEACON VILLA ALF OPERATING LLC
Organization
Assisted Living Facility141 KAELYN LN
PORT ST JOE, FL 32456
(850) 647-4000
1902293988OUR HOME AT BEACON HILL BSLC LLC
Organization
Assisted Living Facility141 KAELYN LN
PORT ST JOE, FL 32456
(850) 647-4000
1568014991141 BEACON OPERATOR LLC
Organization
Assisted Living Facility141 KAELYN LN
PORT ST JOE, FL 32456
(850) 647-4000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487941399, enumerated in the NPI registry as an "organization" on June 30, 2011

The provider is located at 141 Kaelyn Ln Port St Joe, Fl 32456 and the phone number is (850) 647-4000

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 30, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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