Active NPI
Beacon Pointe
- Assisted Living Facility
- Portage, MI
National Provider Identifier
1225693534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BEACON POINTE
- Practice address
- 732 E Centre Ave
Portage, MI 49002-5517 - Phone
- (269) 775-1430
- NPI assigned
- May 2, 2019
- Last updated
- Aug 27, 2026
- Organization subpart
- Yes
- Parent organization
- DOCKERTY HEALTH CARE SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Dockerty
- Title
- Owner/Coo
- Phone
- (269) 775-1430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
732 E Centre Ave
Portage, MI 49002-5517
Mailing address
111 W Ferry St
Berrien Springs, MI 49103-1154
Phone (269) 465-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL390381477 | Other | MI | ADULT FOSTER CARE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2193480 | Beacon Pointe - a Memory Care Community | Certificate of waiver | Sep 21, 2026 |
National Provider Directory
National Provider Directory- Part of
- Beacon Pointe
Locations
111 W Ferry St
Berrien Springs, MI 49103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1225693534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W FERRY ST",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031154",
"telephone_number": "269-465-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 E CENTRE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490025517",
"telephone_number": "269-775-1430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACON POINTE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DOCKERTY HEALTH CARE SERVICES",
"enumeration_date": "2019-05-02",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "DOCKERTY",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "OWNER/COO",
"authorized_official_telephone_number": "269-775-1430"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADULT FOSTER CARE",
"identifier": "AL390381477",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
- Melanie Baumgart
- Nicolette P Baumgartner, MD
- Beacon Kalamazoo Inc (Beacon Kalamazoo)
- Beacon Medical Group Michigan Inc (Beacon Medical Group Michigan)
- Beacon Medical Group Michigan Inc (Beacon Medical Group Michigan)
- Stefanie Beattie, MS, BCBA
- Christy Marie Beaudrie
- Katelyn Beauvais
- Reginald Bebri
- Nancy J Beckman, P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.