NPIMap

Organization Active NPI

Beacon Place LLC

  • Adult Day Care Clinic/Center
  • Highland Mills, NY
National Provider Identifier
1326429630
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BEACON PLACE LLC
Practice address
583 State Route 32
5U
Highland Mills, NY 10930-5200
Phone
(845) 928-2642
Fax
(845) 928-2989
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Solmon Lebovits
Title
Managing Member
Phone
(845) 928-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

583 State Route 32
5U
Highland Mills, NY 10930-5200

Mailing address

583 State Route 32
5U
Highland Mills, NY 10930-5200
Phone (845) 928-2642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160120000552 NY Part B Supplier - Clinic/Group Practice 3577866839 Receives reassigned benefits from 20 practitioners
Practice locations: Highland Mills, NY

National Provider Directory

National Provider Directory

Locations

583 State Route 32
Ste 5U
Highland Mills, NY 10930
Phone (845) 203-1400

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1326429630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 STATE ROUTE 32",
            "address_2": "5U",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305200",
            "telephone_number": "845-928-2642",
            "fax_number": "845-928-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 STATE ROUTE 32",
            "address_2": "5U",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305200",
            "telephone_number": "845-928-2642",
            "fax_number": "845-928-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "LEBOVITS",
        "authorized_official_first_name": "SOLMON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "845-928-2642"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.