Beaches Bar & Cafe

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

BEACHES BAR & CAFE

Doing business as

Beaches Bars And Stand Alone Cafes
beaches bar and cafes

Practice address

840 US Highway 1 Ste 435C
N Palm Beach, FL 33408-3829

Phone

(561) 294-7741

Fax

(561) 805-1097

NPI assigned

May 17, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Ayanna Babcock Sutherland, PCT

Title

Ceo/Founder

Phone

(561) 294-5711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Beaches Bars And Stand Alone Cafes Doing business as
• beaches bar and cafes Doing business as

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayanna Roxanne Sutherland

  • Home Health Agency
  • North Palm Beach, FL
  • NPI 1316410111
  NPD (past)

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1962024539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 ARTHUR ST",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185733",
            "telephone_number": "561-294-7741",
            "fax_number": "561-294-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1 STE 435C",
            "city": "N PALM BEACH",
            "state": "FL",
            "postal_code": "334083829",
            "telephone_number": "561-294-7741",
            "fax_number": "561-805-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES BAR & CAFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_middle_name": "BABCOCK",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "561-294-5711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PCT"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108130000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Beaches.cafes@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Beaches.cafes@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical hemp teas",
            "address_1": "4597 Arthur St",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334185733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kempcare.us",
            "affiliation": "N",
            "endpointDescription": "info@kempcare.us",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "840 US Highway 1 Ste 435C",
            "city": "N Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334083829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beaches Bars And Stand Alone Cafes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "beaches bar and cafes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A & M Gerber Chirorpactic, LLC
• A&R Pharmacy
• Counseling Palm Beach Inc
• Vickie M. Davis, LMT
• Dennis Egitto MD PA
• Doctors Group of the Palm Beaches
• Ted B Domanski, DDS

• Medical Foods Supplier in N Palm Beach, FL
• Providers in N Palm Beach, FL by specialty
• Medical Foods Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.