OrganizationActive
Beacon of Life Sc LLC
NPI 1518658970 · PACE Provider Organization · North Charleston, SC
Beacon of Life Sc LLC is a PACE Provider Organization organization in North Charleston, SC (NPI 1518658970).
Provider details
- NPI number
- 1518658970
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Michael Czermak, Chief Administrative Officer(855) 801-2653
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2801 Ashley Phosphate Rd
North Charleston, SC 29418-4402
Phone: (855) 801-2653
Fax: (732) 806-3323
Street-level locationGet directions
Mailing address
106 W Moore Ave
Mooresville, NC 28115
Other names (DBA / former)
- Other name
- Boldage Pace
- Doing business as
- Boldage Pace Sc Tri-County Area
- Doing business as
- Boldage Pace Sc Tri-County Area
Registry dates
- Enumerated
- 2023-05-17
- Last updated
- 2025-04-10
- Certified
- 2025-04-10
Frequently asked questions
- What is Beacon of Life Sc LLC's NPI number?
- Beacon of Life Sc LLC's National Provider Identifier (NPI) is 1518658970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beacon of Life Sc LLC?
- Beacon of Life Sc LLC is classified in the NPPES registry as PACE Provider Organization (Agencies).
- Where is Beacon of Life Sc LLC located?
- Beacon of Life Sc LLC's practice location on file with NPPES is 2801 Ashley Phosphate Rd, North Charleston, SC 29418-4402.
- What is Beacon of Life Sc LLC's phone number?
- The practice phone number listed in the NPPES registry for Beacon of Life Sc LLC is (855) 801-2653.
- Who is the authorized official for Beacon of Life Sc LLC?
- The authorized official listed on Beacon of Life Sc LLC's NPPES record is Michael Czermak, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beacon of Life Sc LLC's NPI active?
- Yes — Beacon of Life Sc LLC's NPI (1518658970) is active in the NPPES registry as of the last update on 2025-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.