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BEACH CLUB ADULT CENTER, LLC
NPI 1437578549
Clinic/Center - Adult Day Care in Hallandale Beach, FL

Active since April 16, 2014
2500 HALLANDALE BLVD, SUITE T, HALLANDALE BEACH, FL 33009(305) 879-6253(954) 457-4422 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Adult Day Care

About BEACH CLUB ADULT CENTER, LLC

This page provides the complete NPI Profile along with additional information for Beach Club Adult Center, Llc, a provider established in Hallandale Beach, Florida operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1437578549 assigned on April 2014. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Pavel Portnoy (Ceo)

NPI
1437578549 Verify this NPI
Provider Name
BEACH CLUB ADULT CENTER, LLC
Entity Type
Organization
Location Address
2500 HALLANDALE BLVD SUITE T HALLANDALE BEACH, FL 33009
Location Phone
(305) 879-6253
Location Fax
(954) 457-4422
Mailing Address
2500 E HALLANDALE BLVD SUITE T HALLANDALE BEACH, FL 33009
Mailing Phone
(305) 879-6253
Mailing Fax
(954) 457-4422
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2014
Last Update Date
04-16-2014
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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

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities

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

PAVEL PORTNOY

Authorized Official Title
CEO
Authorized Official Phone
(917) 848-1611

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Frequently Asked Questions

What is BEACH CLUB ADULT CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1437578549, enumerated as an "organization" on April 16, 2014.

Where is the provider located?

The provider is located at 2500 HALLANDALE BLVD SUITE T HALLANDALE BEACH, FL 33009 and the phone number is (305) 879-6253.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.