Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

202 Beverly LLC

Organization Assisted Living Facility · NPI 1386213320

202 Beverly LLC is an Assisted Living Facility in Brandon, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 Beverly Blvd
Brandon, FL 33511-5504
Phone: (678) 255-5990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1386213320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miles Raynor — Ceo · (678) 255-5990
Other names Refuge At New Life House; Refuge At New Life House
NPI enumeratedJune 23, 2021
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing address202 Beverly Blvd, Brandon, FL 33511-5504

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