DT Beach Inc. Dba Beach Homes

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DT BEACH INC. DBA BEACH HOMES

Practice address

2575 Columbia Dr
Costa Mesa, CA 92626-6176

Phone

(949) 302-0180

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Andrew Beach

Title

Licensee

Phone

(949) 302-0180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1700617115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 COLUMBIA DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266176",
            "telephone_number": "949-302-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 COLUMBIA DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266176",
            "telephone_number": "949-302-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DT BEACH INC. DBA BEACH HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "949-302-0180"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.