# BEACON HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capistrano Beach Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427003359
- **Authorized official:** CRAE TYLER BERRETT (PRESIDENT)
- **Authorized official phone:** (208) 251-1107

## Contact information

- **Practice address:** 35410 DEL REY, CAPISTRANO BEACH, CA 92624-1814
- **Practice address phone:** (949) 496-5786
- **Practice address fax:** (949) 496-0540
- **Mailing address:** 35410 DEL REY, CAPISTRANO BEACH, CA 92624-1814
- **Mailing address phone:** (949) 496-5786
- **Mailing address fax:** (949) 496-0540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05585J | — | CA |