OrganizationActive
Beacon of Life Florida LLC
NPI 1669339289 · PACE Provider Organization · Holly Hill, FL
Beacon of Life Florida LLC is a PACE Provider Organization organization in Holly Hill, FL (NPI 1669339289).
Provider details
- NPI number
- 1669339289
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Michael Czermak, Cao(855) 801-2653
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1200 Synergy Way Bldg P
Holly Hill, FL 32117-2502
Phone: (855) 801-2653
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Synergy Way Bldg P
Holly Hill, FL 32117-2502
Registry dates
- Enumerated
- 2026-01-06
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Frequently asked questions
- What is Beacon of Life Florida LLC's NPI number?
- Beacon of Life Florida LLC's National Provider Identifier (NPI) is 1669339289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beacon of Life Florida LLC?
- Beacon of Life Florida LLC is classified in the NPPES registry as PACE Provider Organization (Agencies).
- Where is Beacon of Life Florida LLC located?
- Beacon of Life Florida LLC's practice location on file with NPPES is 1200 Synergy Way Bldg P, Holly Hill, FL 32117-2502.
- What is Beacon of Life Florida LLC's phone number?
- The practice phone number listed in the NPPES registry for Beacon of Life Florida LLC is (855) 801-2653.
- Who is the authorized official for Beacon of Life Florida LLC?
- The authorized official listed on Beacon of Life Florida LLC's NPPES record is Michael Czermak, Cao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beacon of Life Florida LLC's NPI active?
- Yes — Beacon of Life Florida LLC's NPI (1669339289) is active in the NPPES registry as of the last update on 2026-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.