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BEACHSIDE LIVING LLC
NPI 1083228332
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Pompano Beach, FL

Active since September 03, 2020
420 N RIVERSIDE DR, POMPANO BEACH, FL 33062(954) 274-5573 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2021, Sep 3, 2020 (2 updates tracked since 2020).

About Beachside Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACHSIDE LIVING LLC (NPI 1083228332) is a healthcare organization registered as an assisted living, behavioral disturbances in Pompano Beach, Florida and active in the NPI registry since September 2020. The organization lists Amparo M Dierking, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083228332
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameCHRISTALLIS MANOR III
Location Address420 N RIVERSIDE DRPompano Beach, FL 33062-5035
Mailing Address420 N Riverside DrPompano Beach, FL 33062-5035 · (954) 274-5573
Phone(954) 274-5573
Organization SubpartNo
Authorized OfficialAmparo M DierkingAdministrator · (954) 274-5573
Enumeration DateSeptember 3, 2020
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1083228332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
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.
420 N RIVERSIDE DR, Pompano Beach, FL 33062
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Other Names 1

Doing Business AsBeachside Living Llc

Other Identifiers 1

Medicaid107611700FL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE ALF, INC
Assisted Living Facility
420 N RIVERSIDE DR
POMPANO BEACH, FL 33062
Broward County (954) 788-8350
CHRISTALLIS MANOR III
Assisted Living Facility
420 N RIVERSIDE DR
POMPANO BEACH, FL 33062
Broward County (954) 274-5573
BEACHSIDE LIVING LLC
Assisted Living Facility (Assisted Living, Mental Illness)
420 N RIVERSIDE DR
POMPANO BEACH, FL 33062
Broward County (954) 788-8350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christallis Manor III's NPI number?

The NPI number for Christallis Manor III is 1083228332. It was assigned to this organization in the NPPES registry on September 3, 2020. The provider is doing business as Beachside Living LLC.

Where is Christallis Manor III located?

Christallis Manor III is located at 420 N Riverside Dr, Pompano Beach, FL 33062. The listed phone number is (954) 274-5573.

What is Christallis Manor III's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Christallis Manor III was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.