NPIMap

Organization Active NPI

Beacon for Life, Assisted Living, LLC

  • Home Health Agency
  • Baton Rouge, LA
National Provider Identifier
1700049293
Registry record updated Jul 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA15065 Issued in LA
Legal business name
BEACON FOR LIFE, ASSISTED LIVING, LLC
Practice address
5500 Florida Blvd
Suite 103B
Baton Rouge, LA 70806-4133
Phone
(225) 246-8867
Fax
(225) 218-0074
NPI assigned
Jul 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2008

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

Authorized official

Name
Mr. Robert L Torry III, J.D.
Title
Owner
Phone
(225) 246-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA15065 LA Primary

Addresses

Primary practice location

5500 Florida Blvd
Suite 103B
Baton Rouge, LA 70806-4133

Mailing address

5500 Florida Blvd
Suite 103B
Baton Rouge, LA 70806-4133
Phone (225) 246-8867

Other identifiers 1

IdentifierTypeStateIssuer
PCA15065MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Beacon for Life Assists Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1215302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215302400000",
    "number": "1700049293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 FLORIDA BLVD",
            "address_2": "SUITE 103B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064133",
            "telephone_number": "225-246-8867",
            "fax_number": "225-218-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FLORIDA BLVD",
            "address_2": "SUITE 103B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064133",
            "telephone_number": "225-246-8867",
            "fax_number": "225-218-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON FOR LIFE, ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-06",
        "last_updated": "2008-07-06",
        "status": "A",
        "authorized_official_last_name": "TORRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-246-8867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA15065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCA15065",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2008; 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.