BEACON SPECIALIZED LIVING MISSOURI INC – NPI #1770340382
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 SPECIALIZED LIVING MISSOURI INC is a community based residential treatment facility located in INDEPENDENCE, MO. NPPES has assigned the NPI number 1770340382 to BEACON SPECIALIZED LIVING MISSOURI INC on February 29, 2024. 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.

The NPI profile was last updated on Nov 20, 2024. 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 MISSOURI INC below.

NPI Profile for
BEACON SPECIALIZED LIVING MISSOURI INC

NPI Number
1770340382
Enumeration Date

(more than 2 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 MISSOURI INC
Primary location
19401 E 40 HWY STE 100
INDEPENDENCE, MO 64055-5400
Phone: (417) 689-3302 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FRANCIS TREBBE
VICE PRESIDENT OF OPERATIONS
Phone: (417) 689-3302
Updated
Certification Date
Nov 20, 2024

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.

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.