Beacon of Life Florida LLC is a PACE Provider Organization (organization) practicing in Holly Hill, Florida. The National Provider Identifier (NPI) is #1669339289, which was assigned on January 6, 2026, and the registration record was last updated on January 6, 2026. The practitioner's main practice location is at 1200 Synergy Way Bldg P, Holly Hill, FL 32117-2502; the contact telephone number is 8558012653. The primary taxonomy of Beacon of Life Florida LLC is PACE Provider Organization (251T00000X). The authorized official for Beacon of Life Florida LLC is Michael Czermak (Cao).
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
| NPI | 1669339289 |
| Entity Type | Organization |
| Organization Name | BEACON OF LIFE FLORIDA LLC |
| Provider Name | BEACON OF LIFE FLORIDA LLC |
| Practice Address |
1200 Synergy Way Bldg P Holly Hill FL 32117-2502 |
| Practice Telephone | 8558012653 |
| Mailing Address |
1200 Synergy Way Bldg P Holly Hill FL 32117-2502 |
| Certification Date | 2026-01-06 |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |
| Is Organization Subpart | N |
| Official Name | MICHAEL CZERMAK |
| Official Title | CAO |
| Telephone | 8558012653 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Code | 251T00000X |
| Taxonomy | PACE Provider Organization |
| Classification | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Grouping | Agencies |
| Definition: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lavashia Jackson | 2636 N 12th St, Ocean Springs, MS 39564-9481 | PACE Provider Organization | 2025-12-18 |
| Habitat Health San Leandro, LLC | 2420 Merced Street, San Leandro, CA 94577 | PACE Provider Organization | 2026-01-22 |
| Alliance Home Care Professionals LLC | 1403 Carroll White Dr, Indianapolis, IN 46219-3911 | PACE Provider Organization | 2025-12-02 |
| Pacificsource Pace, LLC | 555 International Way Ste B104, Springfield, OR 97477-6013 | PACE Provider Organization | 2026-01-05 |
| Milwaukee Catholic Home, Inc. | 2457 Browns Lake Dr, Burlington, WI 53105-7113 | PACE Provider Organization | 2025-10-13 |
| Hillsborough Pace LLC | 9912 Little Rd, New Port Richey, FL 34654-3419 | PACE Provider Organization | 2026-01-06 |
| San Diego Pace, LLC | 601 E 14th St Ste 101, National City, CA 91950-4629 | PACE Provider Organization | 2025-11-19 |
| Allycia D Lawrence | 2208 Paula Cir, Ocean Springs, MS 39564-5672 | PACE Provider Organization | 2025-12-18 |
| Innovage California Pace - Los Angeles, LLC | 12130 Paramount Blvd, Downey, CA 90242-2339 | PACE Provider Organization | 2026-01-16 |
| Milwaukee Catholic Home, Inc. | 3995 S 92nd St, Greenfield, WI 53228-2100 | PACE Provider Organization | 2025-10-13 |
| Find all providers with the same taxonomy | |||
| Street Address |
1200 SYNERGY WAY BLDG P |
| City | HOLLY HILL |
| State | FL |
| Zip Code | 32117-2502 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Shauntria Cherry | 1967 Charleston House Way Apt 2204, Holly Hill, FL 32117-2583 | Behavior Technician | 2023-01-12 |
| Kausar Parveen | 2381 Mason Ave Ste 100, Daytona Beach, FL 32117 | Internal Medicine Physician | 2005-10-20 |
| Walgreen Co | 1829 Ridgewood Ave, Holly Hill, FL 32117-1737 | Community/Retail Pharmacy | 2006-07-29 |
| Dispatchhealth-Florida Inc. | 1440 N Nova Rd Ste 305, Daytona Beach, FL 32117-3245 | Emergency Medicine Physician | 2021-08-17 |
| Pamela N Williams | 1016 Cadillac Dr, Daytona Beach, FL 32117-3959 | Licensed Practical Nurse | 2025-08-18 |
| Georges Simple Solutions Inc | 1615 Ridgewood Ave Ste 102, Holly Hill, FL 32117-1749 | Developmental Disabilities Clinic/Center | 2021-02-04 |
| Tashena Beckford-Ng | 1963 Charleston House Way Apt 4306, Holly Hill, FL 32117-2588 | Home Health Agency | 2026-02-03 |
| Georges Simple Solutions Inc | 1615 Ridgewood Ave Ste 102, Holly Hill, FL 32117-1749 | Attendant Care Provider | 2024-01-02 |
| Henri Habib Nammour | 2381 Mason Ave Suite 100, Daytona Beach, FL 32117 | Internal Medicine Physician | 2006-08-31 |
| Wal-Mart Stores East Lp | 1905 N Nova Rd, Daytona Beach, FL 32117-1421 | Durable Medical Equipment & Medical Supplies | 2006-08-10 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Beacon of Wellness, LLC | 8401 Mayland Dr # 6186, Richmond, VA 23294-4648 | Case Manager/Care Coordinator | 2025-06-20 |
| The Beacon Clinic LLC | 600 Wyndhurst Ave Ste 245c, Baltimore, MD 21210-2436 | Speech-Language Pathologist | 2024-05-28 |
| Beacon Wellness LLC | 4205 State St Ste 5, Bismarck, ND 58503-0623 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2020-10-08 |
| Florida Life Rehab Pt Pa | 2252 Twelve Oaks Way Ste 102, Wesley Chapel, FL 33544-6972 | Physical Therapist | 2023-08-28 |
| Beacon of Peace LLC | 1218 W Ocean View Ave Apt D, Norfolk, VA 23503-1147 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2025-11-04 |
| Beacon Pathways | 18008 Sky Park Cir Ste 140, Irvine, CA 92614-6434 | Professional Counselor | 2025-08-01 |
| Beacon Homecare LLC | 21006 Devonshire St Ste 209, Chatsworth, CA 91311-8271 | In Home Supportive Care Agency | 2025-07-29 |
| Phs Beacon Hill, Inc | 5300 Beacon Hill Rd, Minnetonka, MN 55345-5859 | Assisted Living Facility | 2014-02-14 |
| Beacon Associates | 5161 Nw 102nd Ct, Doral, FL 33178-3200 | Mental Health Counselor | 2007-03-22 |
| Beacon Pediatrics LLC | 18947 John J Williams Hwy, Suite 212, Rehoboth Beach, DE 19971-4474 | Pediatric Nurse Practitioner | 2011-10-11 |
Do you have more infomration about Beacon of Life Florida LLC? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |