CHRISTALLIS MANOR III
NPI 1386258218
Assisted Living Facility in Pompano Beach, FL

Active since September 08, 2020
420 N RIVERSIDE DR, POMPANO BEACH, FL 33062(954) 274-5573 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christallis Manor Iii NPPES

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

CHRISTALLIS MANOR III (NPI 1386258218), doing business as Beachside Living Llc, is a healthcare organization registered as an assisted living facility in Pompano Beach, Florida and active in the NPI registry since September 2020. The organization lists Amparo Dierking, Owner, as its authorized official.

NPPES Registry Identity

NPI1386258218
Entity TypeOrganization
Primary Taxonomy310400000X
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
Organization SubpartNo
Authorized OfficialAmparo DierkingOwner · (954) 274-5573
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 3, 2020
NPI 1386258218 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.
420 N RIVERSIDE DR, Pompano Beach, FL 33062

Other Names 1

Doing Business AsBeachside Living Llc

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.

Assisted Living Facility (Assisted Living, Behavioral Disturbances)
420 N RIVERSIDE DR
POMPANO BEACH, FL 33062
Assisted Living Facility
420 N RIVERSIDE DR
POMPANO BEACH, FL 33062
Assisted Living Facility (Assisted Living, Mental Illness)
420 N RIVERSIDE DR
POMPANO BEACH, FL 33062

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 1386258218. It was assigned to this organization in the NPPES registry on September 8, 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 with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Christallis Manor III was last updated on September 8, 2020. 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.