BEACHSIDE LIVING LLC
NPI 1083228332
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Pompano Beach, FL
NPI Status: Active since September 03, 2020
Contact Information
420 N RIVERSIDE DR
POMPANO BEACH, FL
ZIP 33062
Phone: (954) 274-5573
- Organization
- Assisted Living Facility
- Assisted Living, Behavioral Disturbances
- CLIA Number: 10D2201041
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 11-17-2026
About BEACHSIDE LIVING LLC
This page provides the complete NPI Profile along with additional information for Beachside Living Llc, a provider established in Pompano Beach, Florida operating as a Assisted Living Facility, focusing in assisted living, behavioral disturbances . The healthcare provider is registered in the NPI registry with number 1083228332 assigned on September 2020. The practitioner's primary taxonomy code is 3104A0630X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Beachside Living Llc. The authorized official of this NPI record is Amparo M Dierking (Administrator)
- NPI
- 1083228332
- Provider Legal Name
- CHRISTALLIS MANOR III
- Other Organization Name
- BEACHSIDE LIVING LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 420 N RIVERSIDE DR POMPANO BEACH, FL 33062
- Location Phone
- (954) 274-5573
- Mailing Address
- 420 N RIVERSIDE DR POMPANO BEACH, FL 33062
- Mailing Phone
- (954) 274-5573
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-03-2020
- Last Update Date
- 03-18-2021
- Code Navigator
Location Map
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 Assisted Living, Behavioral Disturbances
- Taxonomy Code
- 3104A0630X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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.
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 |
|---|---|---|---|
| 107611700 | MEDICAID (05) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2201041
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- November 18, 2024
- Certificate Expiration Date
- November 17, 2026
- Laboratory Director
- AMPARO M. DIERKING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Beachside Living Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BEACHSIDE LIVING LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083228332, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
POMPANO BEACH, FL 33062
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083228332, enumerated as an "organization" on September 03, 2020.
The provider is located at 420 N RIVERSIDE DR POMPANO BEACH, FL 33062 and the phone number is (954) 274-5573.
Assisted Living Facility with taxonomy code 3104A0630X and a focus in Assisted Living, Behavioral Disturbances.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
