BEACON SPECIALIZED LIVING MINNESOTA, INC. – NPI #1528174349
Clinic/Center

BEACON SPECIALIZED LIVING MINNESOTA, INC. is an AHC clinic located in MENDOTA HEIGHTS, MN. NPPES has assigned the NPI number 1528174349 to BEACON SPECIALIZED LIVING MINNESOTA, INC. on August 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is OWAKIHI, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on Jul 26, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEACON SPECIALIZED LIVING MINNESOTA, INC. below.

NPI Profile for
BEACON SPECIALIZED LIVING MINNESOTA, INC.

NPI Number
1528174349
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEACON SPECIALIZED LIVING MINNESOTA, INC.
Former Legal Business Name: OWAKIHI, INC.
Primary location
1355 MENDOTA HEIGHTS ROAD
SUITE 260
MENDOTA HEIGHTS, MN 55120
Phone: (651) 451-2889 Fax: (651) 451-5955
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BARBARA TURNER
VICE PRESIDENT OF OPERATIONS
Phone: (651) 451-2889
Updated
Certification Date
Jul 26, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BEACON SPECIALIZED LIVING MINNESOTA, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERMEDICAIDMN246318
MEDICAIDMN196680400
MEDICAIDMN392150600
MEDICAIDMN211817300
MEDICAIDMN706520500
MEDICAIDMN108343100
MEDICAIDMN24G272
MEDICAIDMN339343700
MEDICAIDMN579133200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
311Z00000X
- Custodial Care Facility
3104A0630X
- Assisted Living Facility / Assisted Living, Behavioral Disturbances
310400000X
- Assisted Living Facility
103T00000X
- Psychologist		 MN LP2482

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.