Beachside Living Llc

LBN: Christallis Manor Iii
Beachside Living Llc is an health care organization with primary practice located at 420 N Riverside Dr , Pompano Beach FL 33062-5035. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, which is considered as the primary health care specialty. Christallis Manor Iii can be contacted via phone (954) 274-5573, or through Dierking, Amparo M via phone (954) 274-5573.

Contact Information

Primary practice address
420 N Riverside Dr Pompano Beach FL 33062-5035
Phone: (954) 274-5573
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dierking, Amparo M
Phone: (954) 274-5573

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X

Profile Details

NPI number 1083228332
LBN Legal business name Christallis Manor Iii
DBA Doing business as Beachside Living Llc
Authorized official Dierking, Amparo M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2020
Last updated Mar 18th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083228332 NPPES
Florida MEDICAID 107611700

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