BEACON SPECIALIZED LIVING OHIO INC – NPI #1265131064
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

BEACON SPECIALIZED LIVING OHIO INC is a residential treatment facility located in FAIRBORN, OH. NPPES has assigned the NPI number 1265131064 to BEACON SPECIALIZED LIVING OHIO INC on March 01, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 OHIO INC below.

NPI Profile for
BEACON SPECIALIZED LIVING OHIO INC

NPI Number
1265131064
Enumeration Date

(more than 3 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 OHIO INC
Other name(s)
All associated names:
Other Name
Beacon Services Holdings, Inc.
Other Name
Beacon Specialized Living
Primary location
1460 GRACELAND DR
FAIRBORN, OH 45324-4374
Phone: (937) 874-5001 Fax:
Mailing address
967 WORTHINGTON WOODS LOOP RD
WORTHINGTON, OH 43085-5743
Phone: Fax:
Organization Subpart
Yes - BEACON SPECIALIZED LIVING OHIO INC is subpart of another organization.
Authorized Official
JANET PELL
VP OF OPS AND BUSINESS DEVELOPMENT
Phone: (614) 330-3073
Updated
Certification Date
Mar 01, 2023

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 OHIO 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.

DescriptionIssuerStateIdentifier
otherOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIESOH2916025
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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

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.