BEACON SPRINGS – NPI #1518341221
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.

BEACON SPRINGS is a community based residential treatment facility located in BERRIEN CENTER, MI. NPPES has assigned the NPI number 1518341221 to BEACON SPRINGS on July 13, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON SPRINGS” is a dba name, the actual legal business name for this organization is BEACON SPECIALIZED LIVING SERVICES INC. 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 SPRINGS below.

NPI Profile for
BEACON SPECIALIZED LIVING SERVICES INC

NPI Number
1518341221
Enumeration Date

(about 11 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
Doing Business As (dba): BEACON SPRINGS
Primary location
6418 DEANS HILL RD
STE 2
BERRIEN CENTER, MI 49102-9750
Phone: (269) 427-8400 Fax:
Mailing address
555 RAILROAD ST
BANGOR, MI 49013-1464
Phone: (269) 427-8400 Fax:
Organization Subpart
Yes - BEACON SPRINGS is subpart of another organization.
Authorized Official
GERALD WRIGHT
BUSINESS MANAGER
Phone: (269) 427-8400
Updated
Identifiers

Identifiers for BEACON SPRINGS

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
OTHERLICENSEMIAL110366290
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)
MI AL110366290

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.