BEACON VILLA RETIREMENT CENTER
NPI 1487941399
Assisted Living Facility in Port St Joe, FL

Q: What is Beacon By The Bay LLC's NPI number?

The NPI number for Beacon By The Bay LLC is 1487941399. It was assigned to this organization in the NPPES registry on June 30, 2011. The provider is also known as Beacon Villa Retirement Center.

Q: What is Beacon By The Bay LLC's specialty?

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

Active since June 30, 2011

141 KAELYN LN, PORT ST JOE, FL 32456(850) 647-4000(850) 647-4004 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Beacon Villa Retirement Center NPPES

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

BEACON VILLA RETIREMENT CENTER (NPI 1487941399) is a healthcare organization registered as an assisted living facility in Port St Joe, Florida and active in the NPI registry since June 2011. The organization lists Liza Rojas, Manager, as its authorized official.

NPPES Registry Identity

NPI1487941399

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBEACON BY THE BAY LLC

Location Address141 KAELYN LNPort St Joe, FL 32456-6180

Mailing Address141 Kaelyn LnPort St Joe, FL 32456-6180 · (850) 647-4000 · Fax (850) 647-4004

Phone(850) 647-4000

Fax(850) 647-4004

Organization SubpartNo

Authorized OfficialLiza RojasManager · (850) 647-4000

Enumeration DateJune 30, 2011

✔ NPI 1487941399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL10713

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.

141 KAELYN LN, Port St Joe, FL 32456

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Other Names 1

Other NameBeacon Villa Retirement Center

Other Identifiers 1

Medicaid000451700FL

Other Providers at the Same Location NPPES 4

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

INTEGRAS THERAPY AND WELLNESS CENTERS INC.

Assisted Living Facility

141 KAELYN LN
PORT ST JOE, FL 32456

Gulf County (850) 647-4000

141 BEACON OPERATOR LLC

Assisted Living Facility

141 KAELYN LN
PORT ST JOE, FL 32456

Gulf County (850) 647-4000

BEACON VILLA ALF OPERATING LLC

Assisted Living Facility

141 KAELYN LN
PORT ST JOE, FL 32456

Gulf County (850) 647-4000

OUR HOME AT BEACON HILL BSLC LLC

Assisted Living Facility

141 KAELYN LN
PORT ST JOE, FL 32456

Gulf County (850) 647-4000

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 By The Bay LLC's NPI number?

The NPI number for Beacon By The Bay LLC is 1487941399. It was assigned to this organization in the NPPES registry on June 30, 2011. The provider is also known as Beacon Villa Retirement Center.

Where is Beacon By The Bay LLC located?

Beacon By The Bay LLC is located at 141 Kaelyn Ln, Port St Joe, FL 32456. The listed phone number is (850) 647-4000.

What is Beacon By The Bay LLC'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 Beacon By The Bay LLC was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.