BEACON WAY II LLC – NPI #1790974053
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 II LLC is a community based residential treatment facility located in ALBANY, MO. NPPES has assigned the NPI number 1790974053 to BEACON WAY II LLC on October 23, 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.

The NPI profile was previously updated about 18 years ago on Jul 03, 2008. 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 II LLC below.

NPI Profile for
BEACON WAY II LLC

NPI Number
1790974053
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 II LLC
Primary location
406 N RAILROAD ST
ALBANY, MO 64402-2403
Phone: (816) 390-3840 Fax:
Mailing address
5658 STATE HIGHWAY J
ALBANY, MO 64402-8113
Phone: (660) 726-3734 Fax: (660) 726-3366
Organization Subpart
No
Authorized Official
EMMA GORSLINE
ADMINISTRATOR
Phone: (660) 726-3734
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.