BEACON OF LIFE SC LLC
NPI 1518658970
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in North Charleston, SC

Q: What is Beacon Of Life Sc LLC's NPI number?

The NPI number for Beacon Of Life Sc LLC is 1518658970. It was assigned to this organization in the NPPES registry on May 17, 2023. The provider is doing business as BoldAge PACE SC Tri-County Area. The provider is also known as BoldAge PACE.

Q: What is Beacon Of Life Sc LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Active since May 17, 2023

2801 ASHLEY PHOSPHATE RD, NORTH CHARLESTON, SC 29418(855) 801-2653(732) 806-3323 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 10, 2025, Nov 12, 2024, Aug 14, 2024 and 1 more (4 updates tracked since 2023).

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About Beacon Of Life Sc Llc NPPES

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

BEACON OF LIFE SC LLC (NPI 1518658970), doing business as Boldage Pace Sc Tri-county Area, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in North Charleston, South Carolina and active in the NPI registry since May 2023. The organization lists Michael Czermak, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1518658970

Entity TypeOrganization

Primary Taxonomy251T00000X

Legal Business NameBEACON OF LIFE SC LLC

Location Address2801 ASHLEY PHOSPHATE RDNorth Charleston, SC 29418-4402

Mailing Address106 W Moore Ave, Suite AMooresville, NC 28115 · (732) 806-3205

Phone(855) 801-2653

Fax(732) 806-3323

Organization SubpartNo

Authorized OfficialMichael CzermakChief Administrative Officer · (855) 801-2653

Enumeration DateMay 17, 2023

Last NPPES UpdateApril 10, 20254 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1518658970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies

Taxonomy Code251T00000X

Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

2801 ASHLEY PHOSPHATE RD, North Charleston, SC 29418

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Other Names 2

Doing Business AsBoldage Pace Sc Tri-county Area

Other NameBoldage Pace

Other Providers at the Same Location NPPES

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

MS. VANESSA NICHOLE DAVIS FNP

Nurse Practitioner (Family)

2801 ASHLEY PHOSPHATE RD
N CHARLESTON, SC 29418

Dorchester County (843) 302-8840

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 Of Life Sc LLC's NPI number?

The NPI number for Beacon Of Life Sc LLC is 1518658970. It was assigned to this organization in the NPPES registry on May 17, 2023. The provider is doing business as BoldAge PACE SC Tri-County Area. The provider is also known as BoldAge PACE.

Where is Beacon Of Life Sc LLC located?

Beacon Of Life Sc LLC is located at 2801 Ashley Phosphate Rd, North Charleston, SC 29418. The listed phone number is (855) 801-2653.

What is Beacon Of Life Sc LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Beacon Of Life Sc LLC was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.