Organization Active NPI

Beacon Pointe

  • Assisted Living Facility
  • Portage, MI
National Provider Identifier
1225693534
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DOCKERTY HEALTH CARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AL390381477OtherMIADULT FOSTER CARE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2193480Beacon Pointe - a Memory Care Community732 E Centre Avenue, Portage, MI 49002Certificate of waiverSep 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

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.

Verify at the official NPI Registry.