BEACON SPECIALIZED LIVING NEW JERSEY, INC. – NPI #1912600545
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 NEW JERSEY, INC. is a residential treatment facility located in MANALAPAN TOWNSHIP, NJ. NPPES has assigned the NPI number 1912600545 to BEACON SPECIALIZED LIVING NEW JERSEY, INC. on March 23, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 NEW JERSEY, INC. below.

NPI Profile for
BEACON SPECIALIZED LIVING NEW JERSEY, INC.

NPI Number
1912600545
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 NEW JERSEY, INC.
Primary location
162 HIGHWAY 33
APARTMENT 5
MANALAPAN TOWNSHIP, NJ 07726
Phone: (609) 987-5003 Fax:
Mailing address
13 ROSZEL RD STE B110
PRINCETON, NJ 08540-6211
Phone: (609) 987-5003 Fax: (609) 520-7979
Organization Subpart
No
Authorized Official
DARREN HODGDON
CHIEF EXECUTIVE OFFICER
Phone: (269) 427-8400
Updated
Certification Date
Mar 23, 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 NEW JERSEY, 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
medicaidNJ0450858187
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.