SH BECKETT LAKE LLC. NPI 1841837143

NPI Information

NPI: 1841837143
Provider Name: SH BECKETT LAKE, LLC.

Doing Business As: THE COLONNADE AT BECKETT LAKE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2155 MONTCLAIR RD
CLEARWATER, FL
ZIP 33763
Phone: (727) 797-7257
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SH BECKETT LAKE, LLC. is an assisted living facility in Clearwater, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SH BECKETT LAKE, LLC. NPI is 1841837143. The provider is registered as an organization entity type.
The provider Is Doing Business As The Colonnade At Beckett Lake.

The provider's business location address is:

2155 MONTCLAIR RD
CLEARWATER, FL
ZIP 33763-287
Phone: (727) 797-7257

The provider's authorized official is Seth Walker .
The authorized official title is Cfo and has the following contact phone number (850) 583-7990.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 2/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10143	OTHER	FLORIDA	ALF LICENSE
2	104709600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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