OrganizationActive
202 Beverly LLC
NPI 1386213320 · Assisted Living Facility · Brandon, FL
202 Beverly LLC is a Assisted Living Facility organization in Brandon, FL (NPI 1386213320).
Provider details
- NPI number
- 1386213320
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Miles Raynor, Ceo(678) 255-5990
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
202 Beverly Blvd
Brandon, FL 33511-5504
Phone: (678) 255-5990
Street-level locationGet directions
Mailing address
202 Beverly Blvd
Brandon, FL 33511-5504
Other names (DBA / former)
- Doing business as
- Refuge at New Life House
- Doing business as
- Refuge at New Life House
Registry dates
- Enumerated
- 2021-06-23
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Frequently asked questions
- What is 202 Beverly LLC's NPI number?
- 202 Beverly LLC's National Provider Identifier (NPI) is 1386213320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 202 Beverly LLC?
- 202 Beverly LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is 202 Beverly LLC located?
- 202 Beverly LLC's practice location on file with NPPES is 202 Beverly Blvd, Brandon, FL 33511-5504.
- What is 202 Beverly LLC's phone number?
- The practice phone number listed in the NPPES registry for 202 Beverly LLC is (678) 255-5990.
- Who is the authorized official for 202 Beverly LLC?
- The authorized official listed on 202 Beverly LLC's NPPES record is Miles Raynor, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 202 Beverly LLC's NPI active?
- Yes — 202 Beverly LLC's NPI (1386213320) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.