A Beacon Haven Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 12903 Issued in FL

Legal business name

A BEACON HAVEN ALF

Doing business as

A Beacon Haven LLC

Practice address

13674 Staimford Dr
Wellington, FL 33414-8939

Phone

(561) 513-9493

NPI assigned

Oct 21, 2016

Last updated

Oct 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvonne LawrenceNPI 1932658036

Title

Administrator

Phone

(561) 513-9493

Specialties & licenses 1

Addresses

Other names 1

• A Beacon Haven LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvonne Lawrence

  • Assisted Living Facility
  • Wellington, FL
  • NPI 1932658036
  Authorized official Same address or phone

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1316498587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13674 STAIMFORD DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148939",
            "telephone_number": "561-513-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13674 STAIMFORD DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148939",
            "telephone_number": "561-513-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BEACON HAVEN ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-513-9493"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 12903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Beacon Haven LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 21St Century Oncology LLC (Mark J. Meyer MD)
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• A New Age of Senior Care at Wellington
• A Plus Florida Rehab, LLC
• A. L. Harrell,III, O.D., P.a.
• Aac National PLLC

• Assisted Living Facility in Wellington, FL
• Providers in Wellington, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.