BEACON WAY 111 – NPI #1033399407
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BEACON WAY 111 is a community based residential treatment facility located in ALBANY, MO. NPPES has assigned the NPI number 1033399407 to BEACON WAY 111 on November 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based 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 WAY 111 below.

NPI Profile for
BEACON WAY 111

NPI Number
1033399407
Enumeration Date

(more than 18 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 WAY 111
Primary location
3411 STATE HIGHWAY 85
ALBANY, MO 64402-8335
Phone: (660) 726-3415 Fax:
Mailing address
441 NORTH DR
MARSHALL, MO 65340-3309
Phone: Fax:
Organization Subpart
No
Authorized Official
MARCY SORENSEN
DIRECTOR
Phone: (660) 448-3097
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.

Taxonomy Classification / Specialization State License
320900000X
- Community Based 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.