Beacon Health, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

BEACON HEALTH, INC

Practice address

2750 Taylor Ave Ste A39
Orlando, FL 32806-4474

Phone

(407) 676-4068

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By 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

Joseph SivoliNPI 1326861121

Title

Executive Director

Phone

(414) 241-9480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26012/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• Tiffani Sander, LCSW

  • Clinical Social Worker
  • Winter Springs, FL
  • NPI 1073311122
  Medicare reassignment NPD
• Joseph Sivoli, CRPS

  • Peer Specialist
  • Orlando, FL
  • NPI 1326861121
  NPD Authorized official
• Eleanor Hauser

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1053791806
  NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1891414025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 TAYLOR AVE STE A39",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064474",
            "telephone_number": "407-676-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 TAYLOR AVE STE A39",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064474",
            "telephone_number": "407-676-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SIVOLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-241-9480"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Medical X2 LLC
• Pamela Beach-Reber, M.D.
• Aliyah Feliz Beacham
• Brianne Beacham
• Cherish Beacham
• Aaliyah Beadle
• Patricia C Beals
• Rebecca Simms Beals
• Deanna Beamon
• Britney Beard, OD

• Community Health Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.