NPIMap

Organization Active NPI

Beachland Retirement Home Inc.

  • Assisted Living Facility
  • Fort Pierce, FL
National Provider Identifier
1245627918
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8841 Issued in FL
Legal business name
BEACHLAND RETIREMENT HOME INC.
Practice address
462 Hernando St
Fort Pierce, FL 34949-3243
Phone
(772) 979-1300
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory Mulherin
Title
Owner/Administrator
Phone
(772) 979-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8841 FL Primary

Addresses

Primary practice location

462 Hernando St
Fort Pierce, FL 34949-3243

Mailing address

462 Hernando St
Fort Pierce, FL 34949-3243
Phone (772) 979-1300

National Provider Directory

National Provider Directory
Tax ID family
Beachland Retirement Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1245627918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 HERNANDO ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349493243",
            "telephone_number": "772-979-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 HERNANDO ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349493243",
            "telephone_number": "772-979-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHLAND RETIREMENT HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "MULHERIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-979-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.