BEACHSIDE LIVING LLC
NPI 1649797242
Assisted Living Facility - Assisted Living, Mental Illness in Pompano Beach, FL
About Beachside Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACHSIDE LIVING LLC (NPI 1649797242) is a healthcare organization registered as an assisted living, mental illness in Pompano Beach, Florida and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Vadim Mezrin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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 10D2201041
Christallis Manor III Dba Beachside Living LLC · Pompano Beach, FLOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Beachside Living LLC's NPI number?
The NPI number for Beachside Living LLC is 1649797242. It was assigned to this organization in the NPPES registry on August 24, 2017.
Where is Beachside Living LLC located?
Beachside Living LLC is located at 420 N Riverside Dr, Pompano Beach, FL 33062. The listed phone number is (954) 788-8350.
What is Beachside Living LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.
Does Beachside Living LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2201041) is associated with this NPI, valid through November 17, 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 Beachside Living LLC was last updated on August 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.
