BEACON SPECIALIZED LIVING SERVICES, INC. – NPI #1790835296
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 SERVICES, INC. is a residential treatment facility located in BANGOR, MI. NPPES has assigned the NPI number 1790835296 to BEACON SPECIALIZED LIVING SERVICES, INC. on January 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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. Please note, simply 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 11 years ago on Mar 31, 2015. 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 SERVICES, INC. below.

NPI Profile for
BEACON SPECIALIZED LIVING SERVICES, INC.

NPI Number
1790835296
Enumeration Date

(more than 19 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 SERVICES, INC.
Primary location
555 RAILROAD ST
BANGOR, MI 49013-1464
Phone: (269) 427-8400 Fax: (269) 427-6027
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEN RATZLAFF
PRESIDENT, CEO
Phone: (269) 427-8400
Updated
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.

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.