BEACON POINTE
NPI 1225693534
Assisted Living Facility in Portage, MI

Active since May 02, 2019CLIA 23D2193480 · Waiver
732 E CENTRE AVE, PORTAGE, MI 49002(269) 775-1430 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, May 2, 2019 (2 updates tracked since 2019).

About Beacon Pointe NPPES

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

BEACON POINTE (NPI 1225693534) is a healthcare organization registered as an assisted living facility in Portage, Michigan and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Todd Dockerty, Owner/coo, as its authorized official.

NPPES Registry Identity

NPI1225693534
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBEACON POINTE
Location Address732 E CENTRE AVEPortage, MI 49002-5517
Mailing Address111 W Ferry StBerrien Springs, MI 49103-1154 · (269) 465-7600
Organization SubpartYesParent: Dockerty Health Care Services
Authorized OfficialTodd DockertyOwner/coo · (269) 775-1430
Enumeration DateMay 2, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1225693534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
732 E CENTRE AVE, Portage, MI 49002

Other Identifiers 1

OtherAL390381477MI · Adult Foster Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2193480

Beacon Pointe - A Memory Care Community · Portage, MI
Active · expires Sep 21, 2026
CLIA Number23D2193480
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorTodd Dockerty
Laboratory Phone(574) 261-1124
Laboratory LocationBeacon Pointe - A Memory Care Community732 E Centre Avenue, Portage, MI 49002
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
732 E CENTRE AVE
PORTAGE, MI 49002

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 Beacon Pointe's NPI number?

The NPI number for Beacon Pointe is 1225693534. It was assigned to this organization in the NPPES registry on May 2, 2019.

Where is Beacon Pointe located?

Beacon Pointe is located at 732 E Centre Ave, Portage, MI 49002. The listed phone number is (269) 775-1430.

What is Beacon Pointe's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Beacon Pointe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2193480) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beacon Pointe was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.